Provider Demographics
NPI:1407827868
Name:MCLAUGHLIN, KAY L (DO)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:L
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S OAKLAND ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-2200
Mailing Address - Country:US
Mailing Address - Phone:989-224-2338
Mailing Address - Fax:989-224-2065
Practice Address - Street 1:901 S OAKLAND ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-2200
Practice Address - Country:US
Practice Address - Phone:989-224-2338
Practice Address - Fax:989-224-2065
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKM011051207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3053311Medicaid
MI04-00096OtherPHP
MI3053311Medicaid
MIF81632Medicare UPIN