Grossman, Kathryn M

Grossman, Kathryn M is an sole proprietor health care provider with primary practice located at 601 John St , Kalamazoo MI 49007. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Grossman, Kathryn M can be contacted via phone (269) 341-8481.

Contact Information

Primary practice address
601 John St Kalamazoo MI 49007
Phone: (269) 341-8481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X KG080105 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301080105 Michigan

Profile Details

NPI number 1780658146
LBN Legal business name Grossman, Kathryn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Nov 27th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780658146 NPPES
Michigan MEDICAID 4893119
Michigan Other CA2184

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