Blackport, Kathryn Michele

Blackport, Kathryn Michele is an individual health care provider with primary practice located at 3601 W 13 Mile Rd , Royal Oak MI 48073-6712. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Blackport, Kathryn Michele can be contacted via phone (248) 898-4021.

Contact Information

Primary practice address
3601 W 13 Mile Rd Royal Oak MI 48073-6712
Phone: (248) 898-4021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 470407657 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704307657 Michigan

Profile Details

NPI number 1104470079
LBN Legal business name Blackport, Kathryn Michele
Credentials MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2019
Last updated Jul 19th, 2023 - 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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