Provider Demographics
NPI:1477082972
Name:ZEMKE, KATHRYN LOUISE BRUHNS
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LOUISE BRUHNS
Last Name:ZEMKE
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 1:53869 CONNOR DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48051-3930
Mailing Address - Country:US
Mailing Address - Phone:773-241-4009
Mailing Address - Fax:
Practice Address - Street 1:29691 6 MILE RD STE D296916
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-8606
Practice Address - Country:US
Practice Address - Phone:248-319-0993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician