Maksimowicz-Mckinnon, Kathleen M

Maksimowicz-Mckinnon, Kathleen M is an individual health care provider with primary practice located at 3031 W Grand Blvd Ste 800 , Detroit MI 48202-3141. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Maksimowicz-Mckinnon, Kathleen M can be contacted via phone (313) 916-2631.

Contact Information

Primary practice address
3031 W Grand Blvd Ste 800 Detroit MI 48202-3141
Phone: (313) 916-2631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS013023 Pennsylvania
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 5101014012 Michigan

Profile Details

NPI number 1922072602
LBN Legal business name Maksimowicz-Mckinnon, Kathleen M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 1st, 2014 - about 10 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 1922072602 NPPES
Pennsylvania MEDICAID 101007671

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