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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 |
