Provider Demographics
NPI:1609050251
Name:ELIBRI FRAME, KATHERYN ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:KATHERYN
Middle Name:ANNE
Last Name:ELIBRI FRAME
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 1:7313 RIDGE LINE CIR
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-8591
Mailing Address - Country:US
Mailing Address - Phone:734-426-7789
Mailing Address - Fax:
Practice Address - Street 1:7313 RIDGE LINE CIR
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-8591
Practice Address - Country:US
Practice Address - Phone:734-426-7789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101017101207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine