Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 5101017388 | MI |
Y | 2080P0203X | Pediatric Critical Care Doctor | 5101017388 | MI |
NPI | 1255538088 |
---|---|
Provider Name | Katherine O'brien Cashen |
First Address | Detroit, MI 48201 |
Second Address | Detroit, MI 48201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 31/07/2013 |