Individual
KATHLEEN SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22424 MILNER ST, SAINT CLAIR SHORES, MI 48081-2003
(586) 383-2269
Mailing address
22424 MILNER ST, SAINT CLAIR SHORES, MI 48081-2003
(586) 383-2269
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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