Provider Demographics
NPI:1962458109
Name:MICHEL, KATHY A (DC)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:A
Last Name:MICHEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 LANDVIEW DR
Mailing Address - Street 2:STE. B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2966
Mailing Address - Country:US
Mailing Address - Phone:336-299-3500
Mailing Address - Fax:336-299-0358
Practice Address - Street 1:4405 LANDVIEW DR
Practice Address - Street 2:STE. B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2966
Practice Address - Country:US
Practice Address - Phone:336-299-3500
Practice Address - Fax:336-299-0358
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC44078OtherCIGNA
NC8908653Medicaid
NC4409121OtherUNITED HEALTHCARE
NC08222OtherBCBSNC
NC11408OtherPARTNERS
NC08653OtherC.N.C.
NC11408OtherPARTNERS