Individual
MS. KATHLEEN ELLIZABETH REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CNS, NP
Contact information
Practice address
4100 JOHN R ST, WEO1PF, DETROIT, MI 48201-2013
(313) 576-9059
(313) 576-9285
Mailing address
4100 JOHN R ST, WEO1PF, DETROIT, MI 48201-2013
(313) 576-9059
(313) 576-9285
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704087463
MI
Other
Enumeration date
02/27/2012
Last updated
03/15/2012
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