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NPI Code Detail

MEDICARE: KATIE LYNN KINER LLPC

MEDICARE:   KATIE LYNN KINER  LLPC
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
1101YP2500XProfessional Counselor6401009620MI

General Provider Information

NPI Number : 1083735179
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE LYNN KINER LLPC
Provider Business Mailing Address
First Line : 7375 GRONOW
Second Line :
City : CENTER LINE
State : MI
Zip : 48015-1844
Country : US
Telephone Number : 586-854-3416
Fax Number :
Provider Business Practice Location Address
First Line : 26300 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2019
Country : US
Telephone Number : 313-388-4630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ KATIE LYNN KINER LLPC” Practice Location

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