KATHY DIANE REID

TRAVERSE CITY, MI
NPI1174525042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704133106)
Enumeration Date2005-08-11
Last Update Date2015-10-28
Business Address
-- KATHY DIANE REID APRN,BC
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684-3198
Phone number: 231-932-3801
Mailing Address
-- KATHY DIANE REID APRN,BC
10850 E TRAVERSE HWY
TRAVERSE CITY, MI 49684-1364
Phone number: 231-346-6930