Katty, Miranda Leah

Katty, Miranda Leah is an sole proprietor health care provider with primary practice located at 3577 W 13 Mile Rd Ste 202A , Royal Oak MI 48073-6710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Katty, Miranda Leah can be contacted via phone (248) 551-0669.

Contact Information

Primary practice address
3577 W 13 Mile Rd Ste 202A Royal Oak MI 48073-6710
Phone: (248) 551-0669
Fax: (248) 551-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007838 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601007838 Michigan

Profile Details

NPI number 1023461134
LBN Legal business name Katty, Miranda Leah
Credentials M.S. PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2016
Last updated Apr 4th, 2024 - about 2 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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