Provider Demographics
NPI:1841073582
Name:HUREY, KATHEY CORLENE (LRRT)
Entity type:Individual
Prefix:
First Name:KATHEY
Middle Name:CORLENE
Last Name:HUREY
Suffix:
Gender:F
Credentials:LRRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18260 PENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221-2142
Mailing Address - Country:US
Mailing Address - Phone:313-454-9645
Mailing Address - Fax:
Practice Address - Street 1:18260 PENNINGTON DR
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-2142
Practice Address - Country:US
Practice Address - Phone:313-454-9645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered