Kacynski, Kathryn Ann

Kacynski, Kathryn Ann is an individual health care provider with primary practice located at 1200 E Michigan Ave Sutie 340, Lansing MI 48912-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kacynski, Kathryn Ann can be contacted via phone (517) 364-5955.

Contact Information

Primary practice address
1200 E Michigan Ave Sutie 340 Lansing MI 48912-1800
Phone: (517) 364-5955
Fax: (517) 364-5959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704123388 Michigan

Profile Details

NPI number 1851481055
LBN Legal business name Kacynski, Kathryn Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851481055 NPPES
Michigan Other 5008765020 BCBS INDIVIDUAL PIN
Michigan MEDICAID 4113871 BCBS INDIVIDUAL PIN

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