Provider Demographics
NPI:1467421057
Name:MICHALSKI, KATHLEEN JULIENNE
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:JULIENNE
Last Name:MICHALSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1892 POSSUM TROT RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-9169
Mailing Address - Country:US
Mailing Address - Phone:252-638-8514
Mailing Address - Fax:
Practice Address - Street 1:1892 POSSUM TROT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-9169
Practice Address - Country:US
Practice Address - Phone:252-638-8514
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman