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NPI Code Detail

MEDICARE: KATHLEEN FOX

MEDICARE: KATHLEEN FOX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1760847594
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN FOX
Provider Business Mailing Address
First Line : 13725 STARR COMMONWEALTH RD
Second Line :
City : ALBION
State : MI
Zip : 49224-9525
Country : US
Telephone Number : 517-630-2580
Fax Number :
Provider Business Practice Location Address
First Line : 13725 STARR COMMONWEALTH RD
Second Line :
City : ALBION
State : MI
Zip : 49224-9525
Country : US
Telephone Number : 517-630-2580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2015
Last Update Date : 12/21/2015

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Directions to “ KATHLEEN FOX ” Practice Location

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