Individual provider · Type 1 NPI

Kathryn Marie Poulos

Physician Assistant · Plymouth, MI

NPI number 1083988323 Active

Practice location

9377 N Haggerty Rd
Plymouth, MI 48170

Call (734) 451-0070 Map

Fax (734) 451-1583

Other practice locations

  • 22301 Kelly Rd, Eastpointe, MI 48021-2619 · (586) 443-5588

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601006317 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083988323

Kathryn Marie Poulos's National Provider Identifier is 1083988323, issued on Mar 5, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Plymouth, MI. The record was last updated on Oct 22, 2019.