Healthcare Provider Details

I. General information

NPI: 1053623777
Provider Name (Legal Business Name): KATE RYAN KUHLMAN B.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2010
Last Update Date: 07/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 CHURCH STREET
ANN ARBOR MI
48109-1043
US

IV. Provider business mailing address

530 CHURCH STREET
ANN ARBOR MI
48109-1043
US

V. Phone/Fax

Practice location:
  • Phone: 173-461-5785
  • Fax:
Mailing address:
  • Phone: 173-461-5785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: