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NPI Code Detail

MEDICARE: KATHRYN ARBOUR

MEDICARE: KATHRYN ARBOUR
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
1156F00000XTechnician/TechnologistMI

General Provider Information

NPI Number : 1952821258
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN ARBOUR
Provider Business Mailing Address
First Line : 4285 DEVELOPMENT DR
Second Line :
City : LANSING
State : MI
Zip : 48911-4213
Country : US
Telephone Number : 517-706-0421
Fax Number :
Provider Business Practice Location Address
First Line : 4285 DEVELOPMENT DR
Second Line :
City : LANSING
State : MI
Zip : 48911-4213
Country : US
Telephone Number : 517-706-4201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2017
Last Update Date : 07/21/2022

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Directions to “ KATHRYN ARBOUR ” Practice Location

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