Connell, Kathleen M

Connell, Kathleen M is an individual health care provider with primary practice located at 6910 S Cedar St , Lansing MI 48911-6912. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Connell, Kathleen M can be contacted via phone (517) 694-4134.

Contact Information

Primary practice address
6910 S Cedar St Lansing MI 48911-6912
Fax: (517) 694-1629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X KC046039 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KC046039 Michigan

Profile Details

NPI number 1386781367
LBN Legal business name Connell, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 21st, 2011 - about 13 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 1386781367 NPPES
Michigan Other 1001492 MCLAREN
Michigan Other KC046039 MCLAREN
Michigan Other 700C361780 MCLAREN

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