Individual
KATHY MARIE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 W 5TH ST, CLARE, MI 48617-9414
(989) 386-9911
(989) 386-9913
Mailing address
700 W 5TH ST, CLARE, MI 48617-9414
(989) 386-9911
(989) 386-9913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002836
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152915080
BCBS
MI
Enumeration date
07/14/2006
Last updated
09/14/2016
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