Kara Lynn Shall
Specialist in Grosse Pointe, MI. Individual provider (NPI-1).
NPI number1063166320
StatusActive
Last updated in NPPESFeb 7, 2022
Details
- NPI
- 1063166320
- Entity type
- Individual (NPI-1)
- Name
- Kara Lynn Shall
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2022
- Certification date
- Feb 7, 2022
- Last updated
- Feb 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
656 Lincoln RdGrosse Pointe, MI 48230-1220
Phone 313-330-0795
Mailing address
656 Lincoln RdGrosse Pointe, MI 48230-1220
Phone 313-330-0795
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