Individual
MS. KATHRYN ANN KACYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 E MICHIGAN AVE, SUTIE 340, LANSING, MI 48912-1800
(517) 364-5955
(517) 364-5959
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704123388
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4113871
—
MI
01
—
5008765020
BCBS INDIVIDUAL PIN
MI
Enumeration date
10/16/2006
Last updated
07/08/2007
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