Individual
KATHY J BRITTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 HEALTH PKWY, SUITE B, PAW PAW, MI 49079-8242
(269) 655-3065
(269) 655-0585
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301054150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238601
MEDICARE RURAL HEALTH CLINIC NUMBER
MI
05
—
4938435
—
MI
01
—
CA4396
RAILROAD MEDICARE
MI
Enumeration date
11/15/2005
Last updated
04/03/2023
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