Provider Demographics
NPI:1740803121
Name:STENLUND, KATHLEEN CLAIRE (DO)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:CLAIRE
Last Name:STENLUND
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Gender:F
Credentials:DO
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Mailing Address - Street 1:804 SERVICE RD STE A202
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-432-6144
Mailing Address - Fax:517-432-6150
Practice Address - Street 1:4660 S HAGADORN RD STE 500
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6804
Practice Address - Country:US
Practice Address - Phone:517-432-6144
Practice Address - Fax:517-432-6150
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2023-09-25
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Provider Licenses
StateLicense IDTaxonomies
MI5101026952204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM