Mammel, Kathleen A
Mammel, Kathleen A is an individual health care provider with primary practice located at 1500 E Medical Center Drive 8Th Floor Cs Mott Childrens Hospital, Ann Arbor MI 48109-4259. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mammel, Kathleen A can be contacted via phone (734) 936-4185.Contact Information
Primary practice address
1500 E Medical Center Drive 8Th Floor Cs Mott Childrens Hospital
Ann Arbor MI 48109-4259
Phone: (734) 936-4185
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301064675 | Michigan |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 4301064675 | Michigan |
Profile Details
| NPI number | 1972562270 |
|---|---|
| LBN Legal business name | Mammel, Kathleen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | May 12th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972562270 | NPPES |
| Michigan | MEDICAID | 3176714 | |
| Michigan | Other | 350F361320 |
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