Provider Demographics
NPI:1427360262
Name:SINK, KATRINA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:LYNN
Last Name:SINK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1000 MONROE AVE NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-1455
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:410 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055-5329
Practice Address - Country:US
Practice Address - Phone:207-693-6106
Practice Address - Fax:207-693-4026
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301096904207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine