Individual
KATHLEEN MARIE LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2838
(248) 849-2721
Mailing address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-2838
(248) 849-2721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704152371
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704152371
MI
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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