Kattelus, Kylie J

Kattelus, Kylie J is an individual health care provider with primary practice located at 819 N Shiawassee St Ste 110 , Owosso MI 48867-1601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kattelus, Kylie J can be contacted via phone (989) 723-1390.

Contact Information

Primary practice address
819 N Shiawassee St Ste 110 Owosso MI 48867-1601
Phone: (989) 723-1390
Fax: (989) 725-1415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704275840 Michigan

Profile Details

NPI number 1467044941
LBN Legal business name Kattelus, Kylie J
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2021
Last updated Jun 8th, 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 1467044941 NPPES
Michigan MEDICAID 1467044941

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