Individual provider · Type 1 NPI

Kathryn Elizabeth Lewis

Nurse Practitioner · Clinton Township, MI

NPI number 1649528076 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Mailing address

24211 Little Mack Ave Apt 2
St. Clair Shores, MI 48080-1151

Other practice locations

  • 24211 Little Mack Ave Ste A, St. Clair Shores, MI 48080-1151 · (586) 498-0440

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner 363LW0102X4704252928 (MI)
Nurse Practitioner Primary 363L00000X4704252928 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649528076

Kathryn Elizabeth Lewis's National Provider Identifier is 1649528076, issued on Aug 15, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton Township, MI. The record was last updated on Jul 7, 2025.