Individual
KATHLEEN HENEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
75 BARCLAY CIR STE 118, ROCHESTER HILLS, MI 48307-5803
(248) 312-9300
Mailing address
62550 MORNINGSIDE DR, WASHINGTON, MI 48094-1325
(313) 445-8589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190384
MI
Other
Enumeration date
05/11/2015
Last updated
04/10/2019
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