MS. MARY KATHERINE KLEPADLO


Address: 3338 Farnsworth St, Detroit, MI 48211-3024
Phone: 3139249123

MS. MARY KATHERINE KLEPADLO (NPI# 1043573686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043573686
Entity Type Individual
Full Name MS. MARY KATHERINE KLEPADLO
Credential APRN
Practice Address 3338 Farnsworth St
Detroit
MI 48211-3024
Practice Telephone 3139249123
Mailing Telephone 3139249123
Enumeration Date 2012-06-19
Last Update Date 2012-06-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 4704185649 MI Nursing Service Providers
N 163WH0200X Registered Nurse
Specialization: Home Health
4704185649 MI Nursing Service Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704185649 MI Physician Assistants & Advanced Practice Nursing Providers
N 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
4704185649 MI Physician Assistants & Advanced Practice Nursing Providers
N 174H00000X Health Educator 4704185649 MI Other Service Providers

Office Location

Street Address 3338 FARNSWORTH ST
City DETROIT
State MI
Zip Code 48211-3024

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City DETROIT
Zip Code 48211

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Dataset Information

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.

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