Individual
KATHRYN KIMBERLEE LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006209
MI
Other
Enumeration date
08/12/2011
Last updated
01/02/2012
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