| NPI Details | |
|---|---|
| NPI | 1023224565 |
| Enumeration Date | 05/14/2007 |
| Last Updated | 07/07/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | KATHLEEN MARIE KATHLEEN |
| Position | OWNER |
| Phone | (810) 249-8461 |
| Fax | (810) 249-7931 |
| Practice Location | |
|---|---|
| 1487 S LINDEN RD FLINT MI, 48532-4167, US |
|
| Phone | (810) 249-8461 |
| Fax | (810) 249-7931 |
| Business Location | |
|---|---|
| 1487 S LINDEN RD FLINT MI, 48532-4167, US |
|
| Phone | (810) 249-8461 |
| Fax | (810) 249-7931 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 332B00000X |
| License State | |
| License Number | |
| Remove 1023224565 NPI Number | |
According to our database, Keilen Shoes NPI is 1023224565, taxonomy code is 332B00000X Keilen Shoes physically located at 1487 S Linden Rd, Flint MI, 48532-4167. NPI Number 1033115704 has the healthcare provider type.
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1023224565 NPI number is provided on an as is basis without warranty of any kind. 1023224565 is maintained by the National Plan & Provider Enumeration System. The contents of Keilen Shoes are for informational purposes only.
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