Individual
KATHLEEN VALERIE NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
23901 LAHSER RD, SOUTHFIELD, MI 48034-6035
(248) 357-3360
(248) 357-0915
Mailing address
111 NORTH GLENGARRY RD, BLOOMFIELD HILLS, MI 48301-2711
(248) 594-9944
(248) 594-9946
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704157802
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KN157802
BCBSM NUMBER
MI
Enumeration date
06/27/2006
Last updated
07/09/2007
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