Katelyn Lee Crittenden
Clinic/Center, Developmental Disabilities in Flint, MI. Individual provider (NPI-1).
NPI number1497510556
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1497510556
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Lee Crittenden
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2024
- Certification date
- Feb 18, 2024
- Last updated
- Feb 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
1057 E Coldwater RdFlint, MI 48505-1501
Phone 810-257-3740
Mailing address
363 North DrDavison, MI 48423-1628
Phone 810-730-5520
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