KATHRYN MICHELE BLACKPORT

ROYAL OAK, MI
NPI1104470079
Former NameKATHRYN READING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MI  4704307657)
Additional Taxonomies176B00000X Midwife
(Licence: MI  470407657)
Enumeration Date2019-07-30
Last Update Date2023-07-19
Business Address
KATHRYN MICHELE BLACKPORT MSN, CNM
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-4021
Mailing Address
KATHRYN MICHELE BLACKPORT MSN, CNM
3915 ELMHURST AVE
ROYAL OAK, MI 48073-1862
Phone number: 586-604-8350