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NPI Code Detail

MEDICARE: KAWECHE KATUNDU

MEDICARE: KAWECHE KATUNDU
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
1363LG0600XGerontology Nurse Practitioner4704318030MI
2163W00000XRegistered Nurse470431803MI

General Provider Information

NPI Number : 1598576431
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAWECHE KATUNDU
Provider Business Mailing Address
First Line : 303 E KEARSLEY ST
Second Line :
City : FLINT
State : MI
Zip : 48502-1907
Country : US
Telephone Number : 810-762-3420
Fax Number :
Provider Business Practice Location Address
First Line : 2366 OAK VALLEY DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-8944
Country : US
Telephone Number : 877-227-8823
Fax Number : 313-578-6393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2025
Last Update Date : 06/22/2026

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Directions to “ KAWECHE KATUNDU ” Practice Location

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