Individual provider · NPI-1

Kathryn Elizabeth Baumgartner, DO

Family Medicine · Okemos, MI

NPI number1194349969
StatusActive
Last updated in NPPESSep 25, 2023

Details

NPI
1194349969
Entity type
Individual (NPI-1)
Name
Kathryn Elizabeth Baumgartner
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2020
Certification date
Sep 25, 2023
Last updated
Sep 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine5101026877MIYes

Practice location

2446 Jolly Rd Ste B
Okemos, MI 48864-3514

Phone 517-253-5530 · Fax 517-253-5535

Mailing address

2446 Jolly Rd Ste B
Okemos, MI 48864-3514

Phone 517-253-5530 · Fax 517-253-5535

Other practice locations

1215 E Michigan Ave
Lansing, MI 48912-1896

Phone 517-364-1000

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