Provider Demographics
NPI:1508986282
Name:MERROW, KATHRYN A
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:A
Last Name:MERROW
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 1:3133 VAN HORN RD
Mailing Address - Street 2:P.O. BOX 99
Mailing Address - City:TRENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48183-4070
Mailing Address - Country:US
Mailing Address - Phone:734-671-4987
Mailing Address - Fax:
Practice Address - Street 1:3133 VAN HORN RD
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-4070
Practice Address - Country:US
Practice Address - Phone:734-671-4987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other