King, Kathleen Wojda

King, Kathleen Wojda is an individual health care provider with primary practice located at 1000 Harrington St Disease Management, Mount Clemens MI 48043-2920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. King, Kathleen Wojda can be contacted via phone (586) 493-8565.

Contact Information

Primary practice address
1000 Harrington St Disease Management Mount Clemens MI 48043-2920
Phone: (586) 493-8565
Fax: (586) 493-8186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704114606 Michigan

Profile Details

NPI number 1174501506
LBN Legal business name King, Kathleen Wojda
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Sep 17th, 2010 - about 16 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 1174501506 NPPES
Michigan MEDICAID 10-4586056
Michigan MEDICAID 10-4719985
Michigan MEDICAID 10-4719949
Michigan MEDICAID 10-4719958
Michigan MEDICAID 10-4719967
Michigan MEDICAID 10-4719976

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