Healthcare Provider Details

I. General information

NPI: 1003035023
Provider Name (Legal Business Name): KATHLEEN M SINGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 ZINA PITCHER PL
ANN ARBOR MI
48109-2205
US

IV. Provider business mailing address

1352 MARLBOROUGH DR
ANN ARBOR MI
48104-6263
US

V. Phone/Fax

Practice location:
  • Phone: 734-763-3580
  • Fax:
Mailing address:
  • Phone: 734-971-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number4704129934
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: