Kathryn A Fenton, CPNP-PC
Nurse Practitioner, Pediatrics in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1760899595
StatusActive
Last updated in NPPESMar 13, 2018
Details
- NPI
- 1760899595
- Entity type
- Individual (NPI-1)
- Name
- Kathryn A Fenton
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2014
- Last updated
- Mar 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704285330 | MI | Yes |
Practice location
2900 Packard Rd Ste 1Ypsilanti, MI 48197-2061
Phone 734-572-8686 · Fax 734-572-8866
Mailing address
2900 Packard Rd Ste 1Ypsilanti, MI 48197-2061
Phone 734-572-8686 · Fax 734-572-8866
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