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Individual

KATHRYN A HANCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
3282 ANGELUS DR, WATERFORD, MI 48329-2512
(248) 877-3305

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704270381
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704270381
REGISTERED NURSE
MI
Enumeration date
03/06/2023
Last updated
03/06/2023
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