Maksimowicz-Mckinnon, Kathleen M
Maksimowicz-Mckinnon, Kathleen M is an individual health care provider with primary practice located at 3031 W Grand Blvd Ste 800 , Detroit MI 48202-3141. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Maksimowicz-Mckinnon, Kathleen M can be contacted via phone (313) 916-2631.Contact Information
Primary practice address
3031 W Grand Blvd Ste 800
Detroit MI 48202-3141
Phone: (313) 916-2631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OS013023 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 5101014012 | Michigan |
Profile Details
| NPI number | 1922072602 |
|---|---|
| LBN Legal business name | Maksimowicz-Mckinnon, Kathleen M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Aug 1st, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922072602 | NPPES |
| Pennsylvania | MEDICAID | 101007671 |
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