Individual
KATHLEEN MARIE STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1441 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1370
(269) 381-1234
(269) 381-9809
Mailing address
1441 S WESTNEDGE AVE, KALAMAZOO, MI 49008-1370
(269) 381-1234
(269) 381-9809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704171480
MI
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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