Lemmen, Kathleen L

Lemmen, Kathleen L is an individual health care provider with primary practice located at 670 Mall Dr , Portage MI 49024-2878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lemmen, Kathleen L can be contacted via phone (269) 327-1900.

Contact Information

Primary practice address
670 Mall Dr Portage MI 49024-2878
Fax: (269) 327-1564
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X KL040004 Michigan

Profile Details

NPI number 1801867106
LBN Legal business name Lemmen, Kathleen L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 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 1801867106 NPPES
Michigan MEDICAID 1500862

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