Individual
MRS. KAITLYN ANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5250 AUTO CLUB DR STE 200, DEARBORN, MI 48126-2619
(313) 203-5300
Mailing address
1426 16TH ST, WYANDOTTE, MI 48192-3344
(734) 621-1074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704319102
MI
Other
Enumeration date
05/05/2020
Last updated
11/22/2020
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