Individual
KATHRYN A FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2900 PACKARD RD STE 1, YPSILANTI, MI 48197-2061
(734) 572-8686
(734) 572-8866
Mailing address
2900 PACKARD RD STE 1, YPSILANTI, MI 48197-2061
(734) 572-8686
(734) 572-8866
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704285330
MI
Other
Enumeration date
07/14/2014
Last updated
03/13/2018
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