Provider Demographics
NPI:1255687737
Name:EIMERS, KATHLEEN RONAE (AUD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:RONAE
Last Name:EIMERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:RONAE
Other - Last Name:CURRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:8434 M 119
Mailing Address - Street 2:
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-9595
Mailing Address - Country:US
Mailing Address - Phone:231-412-6034
Mailing Address - Fax:231-412-6038
Practice Address - Street 1:8434 M 119
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9595
Practice Address - Country:US
Practice Address - Phone:231-412-6034
Practice Address - Fax:231-412-6038
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000616231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist