Individual
KATHRYN MARIE PSILIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 E LA SALLE AVE, ROYAL OAK, MI 48073-3544
(586) 879-9243
Mailing address
425 E LA SALLE AVE, ROYAL OAK, MI 48073-3544
(586) 879-9243
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704297402
MI
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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