Provider Demographics
NPI:1780011916
Name:CROSS, KATHRYN JOYCE
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JOYCE
Last Name:CROSS
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 1:528 W CHICAGO
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49039
Mailing Address - Country:US
Mailing Address - Phone:517-279-8423
Mailing Address - Fax:517-279-0664
Practice Address - Street 1:528 W CHICAGO
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49039
Practice Address - Country:US
Practice Address - Phone:517-279-8423
Practice Address - Fax:517-279-0664
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist