KATHRYN KVAM (NPI# 1760625412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760625412 |
| Entity Type | Individual |
| Full Name | KATHRYN KVAM |
| Practice Address |
5333 Mcauley Dr Suite 2111 Ypsilanti MI 48197-1014 |
| Practice Telephone | 7347125015 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2014-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A116421 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5333 MCAULEY DR SUITE 2111 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285378 | Thomas A Weimert | Otolaryngology | 5333 Mcauley Dr, Rm 2017, Ypsilanti, MI 48197-1096 | 2005-06-20 |
| 1780172809 | Meena Sahu | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Ypsilanti, MI 48197-1014 | 2018-04-24 |
| 1568996940 | Cydney Siggins | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-04-12 |
| 1205369725 | Kenneth John Buchanan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
| 1518491059 | Mahwish Hafeez | Internal Medicine | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-11 |
| 1124551791 | Emily Welker | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-10 |
| 1366975195 | Patrick D Suggs | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2115, Ypsilanti, MI 48197-1014 | 2017-04-08 |
| 1528591427 | Elizabeth Anne Henderson | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-06 |
| 1043742448 | Emily Eton | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 4001, Ypsilanti, MI 48197-1014 | 2017-04-03 |
| 1740711126 | Kelsey Behan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255565875 | Kevin Mahendra Kapadia | Psychiatry & Neurology | 5333 Mcauley Dr Rm 6109, Ypsilanti, MI 48197-1005 | 2009-05-11 |
| 1831431915 | Nour Baki | Psychiatry & Neurology | 5333 Mcauley Dr Rm 6109, Ypsilanti, MI 48197-1005 | 2013-03-26 |
| 1669713145 | Iha Health Service Corporation | Psychiatry & Neurology | 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197-1014 | 2013-03-08 |
| 1215229000 | Rachel Leigh Kraft | Psychiatry & Neurology | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-1014 | 2011-05-11 |
| 1043501109 | Emily Lauren Westbury | Psychiatry & Neurology | 5333 Mcauley Dr, Suite 6109, Ypsilanti, MI 48197-1014 | 2011-04-25 |
| 1588978977 | Catalina Maideniuc | Psychiatry & Neurology | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-1014 | 2010-07-28 |
| 1659515732 | Charles Nathan Braun | Psychiatry & Neurology | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-1014 | 2009-04-21 |
| 1033311253 | Theron Leroy Dobson | Psychiatry & Neurology | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-1014 | 2007-06-01 |
| 1851319875 | Frank Judge | Psychiatry & Neurology | 5333 Mcauley Dr, Suite 3112, Ypsilanti, MI 48197-1014 | 2006-07-17 |
| 1497707939 | Anastasios Alexiou | Psychiatry & Neurology | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197 | 2006-05-16 |
| Find all providers in YPSILANTI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.