Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN MARIE POULOS
ActiveKATHRYN MARIE POULOS is a Physician Assistant healthcare provider located in PLYMOUTH, Michigan. NPI 1083988323 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PLYMOUTH, MI
Registration Details
- NPI Number
- 1083988323
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 5, 2012 (14.403444863767 yrs)
- Last Updated
- Oct 22, 2019
- License
-
5601006317 (MI)
Practice Information
- Address
-
9377 N HAGGERTY RDPLYMOUTH, MI, 48170Browse MI providers · Browse ZIP 48170
- Phone
- 7344510070
- Fax
- 7344511583
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PLYMOUTH, MI
| Name | Credential | NPI |
|---|---|---|
| CATHERINE RIFFLE | PA | 1467552968 |
| DENNIS W KABACZY | PA | 1194930214 |
| MRS. ERIN ELIZABETH VAN TIEM | PA-C | 1255565685 |
| EMILY N ZOROYA | PA | 1073061222 |
| MS. KELLY CHRISTINE JEW-GARCIA | PA-C | 1659905156 |
| RAYMOND JOSEPH RAUEN III | PA-C | 1811598162 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.