Healthcare Provider Details

I. General information

NPI: 1992293567
Provider Name (Legal Business Name): KATHLEEN DREW RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2018
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24755 5 MILE RD STE 202
REDFORD MI
48239-3666
US

IV. Provider business mailing address

8450 BERWICK DR
WESTLAND MI
48185-3853
US

V. Phone/Fax

Practice location:
  • Phone: 313-414-6531
  • Fax: 866-611-8861
Mailing address:
  • Phone: 313-414-6531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number4704305862
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: