Individual
KATHLEEN M ANDRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KA036485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A110280
BCBS
MI
01
—
110203216
RAIL ROAD MEDICARE
MI
Enumeration date
03/21/2006
Last updated
05/23/2017
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