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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 |