National Provider Identifier Database

KATHRYN M POULOS
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

KATHRYN M POULOS
9377 N HAGGERTY RD
PLYMOUTH, MI48170
Phone: 734-451-0070
Fax: 734-451-1583
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for KATHRYN M POULOS

NPI Number 1083988323
Credentials
Entity Individual
Enumeration date 03/05/2012
Last updated 10/22/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 5601006317
  • MI Other: 5601006317 LICENSE
Hospital affiliation n/a

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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