Dr KATHRYN M POULOS is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
PARK FAMILY HEALTH CARE, P.C.
2255 FORT ST
LINCOLN PARK
MI
481462671
Tel: 3133867500
| Npi | 1083988323 |
| Pac Id | 4880855998 |
| Professional Enrollment Id | I20120417000771 |
| Last Name | POULOS |
| First Name | KATHRYN |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | PARK FAMILY HEALTH CARE, P.C. |
| Group Practice Pac Id | 9638077621 |
| Number Of Group Practice Members | 20 |
| Line 1 Street Address | 2255 FORT ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LINCOLN PARK |
| State | MI |
| Zip Code | 481462671 |
| Phone Number | 3133867500 |
| Hospital Affiliation Ccn 1 | 230151 |
| Hospital Affiliation Lbn 1 | BEAUMONT HOSPITAL - FARMINGTON HILLS |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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