Search › Michigan › 363A00000X
Kathryn Poulos
NPI 1083988323 · on the registry since 2012
Practice
- Address
- 9377 N Haggerty Rd
Plymouth, MI 48170 - Phone
- (734) 451-0070
- Fax
- (734) 451-1583
- Clinicians at this address
- 2
Additional practice sites
- 22301 Kelly Rd, Eastpointe, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan