Barry, Kathleen

Barry, Kathleen is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Barry, Kathleen can be contacted via phone (248) 964-5190.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301056250 Michigan

Profile Details

NPI number 1740259712
LBN Legal business name Barry, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 4th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740259712 NPPES
Michigan Other 300F362480 BCBSM
Michigan MEDICAID 4436175 BCBSM

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