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General NPI Number Information
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NPI Number | 1346705035
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Entity Type | Organization
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Legal Business Name | KATHERINE B. KRIVE, DO, PLLC
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 801 S WAVERLY RD STE 303
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City | LANSING
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State | MI
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Zip | 48917-4200
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Country | US
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Telephone | 517-282-0771
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Fax | 612-500-4648
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Provider Business Mailing Address
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Address Line | 1612 W SHIAWASSEE ST
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City | LANSING
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State | MI
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Zip | 48915-1271
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Country | US
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Telephone | 517-282-0771
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Fax | 844-395-8841
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE B KRIVE
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Credential | DO
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Telephone | 517-282-0771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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