Provider Demographics
NPI:1710257621
Name:GLADWIN, KATHRYN F
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:F
Last Name:GLADWIN
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 1:35 PHOTO ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-2815
Mailing Address - Country:US
Mailing Address - Phone:734-276-2851
Mailing Address - Fax:
Practice Address - Street 1:35 PHOTO ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48198-2815
Practice Address - Country:US
Practice Address - Phone:734-276-2851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula