Kerry Nathan PA

NPI 1003882242 - Physician Assistant - 363A00000X

NPI Details
NPI 1003882242
Gender Female
Enumeration Date 02/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
31150 HOOVER
SUITE B
WARREN MI, 48093, US
Phone (586) 983-3666
Fax (586) 983-3776
Business Location
31150 HOOVER
SUITE B
WARREN MI, 48093, US
Phone (586) 983-3666
Fax (586) 983-3776
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601002908
Remove 1003882242 NPI Number
 

According to our database, Kerry Nathan PA NPI is 1003882242, taxonomy code is 363A00000X and license number is 5601002908, license state is located at Michigan. Kerry Nathan PA physically located at 31150 Hoover, Warren MI, 48093. NPI Number Kerry Nathan PA has the Individual type.

Sponsored links

1003882242 NPI number is provided on an as is basis without warranty of any kind. 1003882242 is maintained by the National Plan & Provider Enumeration System. The contents of Kerry Nathan PA are for informational purposes only.