Individual
KATHRYN AURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
28800 RYAN RD, SUITE 280, WARREN, MI 48092-4272
(248) 539-8630
Mailing address
28800 RYAN RD, SUITE 280, WARREN, MI 48092-4272
(248) 539-8630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801207907
—
MI
01
—
5601007014
MI LICENSE
MI
01
—
5633119
BCBS PIN
MI
Enumeration date
05/12/2014
Last updated
09/20/2024
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