Individual
KATHY CASSANDRA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27147 YALE ST, INKSTER, MI 48141-2580
(313) 617-5708
Mailing address
27147 YALE ST, INKSTER, MI 48141-2580
(313) 617-5708
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714962
—
MI
Enumeration date
12/04/2015
Last updated
12/04/2015
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