Provider Demographics
NPI:1144710377
Name:NEWKIRK, CATHY JO (MS)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:JO
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 N SAGINAW ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48502-2031
Mailing Address - Country:US
Mailing Address - Phone:810-244-8523
Mailing Address - Fax:
Practice Address - Street 1:605 N SAGINAW ST STE 1A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48502-2031
Practice Address - Country:US
Practice Address - Phone:810-244-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator