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Contact Information

KATHLEEN T ACKERMAN, PA
468 CADIEUX RD
GROSSE POINTE, MI48230-1507
 Phone: 313-473-6899
 Fax: 313-473-1509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHLEEN T ACKERMAN · (Female)

NPI Number 1033665906
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/30/2016
Last updated 05/12/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601007873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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