Individual
MRS. KATHY REGINA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
11447 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3040
(313) 365-1362
Mailing address
11447 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3040
(313) 365-1362
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704191112
MI
Other
Enumeration date
12/10/2013
Last updated
02/26/2014
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