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Dr. Kathleen Howard

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NPI Number Detailed Information

Provider Information:

Name: Dr. Kathleen Howard
Gender: F
Provider License Number If Given: 4301079715

NPI Information:

NPI: 1427043991
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 877 FOREST HILL AVE SE
Grand Rapids, MI 49546
Phone Number: 6169494465
Fax Number: 6169496191

Provider Business Practice Location Address:

Address: 877 FOREST HILL AVE SE
Grand Rapids, MI 49546
Phone Number: 6169494465
Fax Number: 6169496191

Provider Taxonomy:

Primary: 208000000X
Secondary (if any):
State: MI

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