Provider Demographics
NPI:1154035145
Name:HATCH, KAREN L (CDL-L, PPDS, CDF)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:HATCH
Suffix:
Gender:F
Credentials:CDL-L, PPDS, CDF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22744 GODDARD RD
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-4126
Mailing Address - Country:US
Mailing Address - Phone:313-207-1100
Mailing Address - Fax:
Practice Address - Street 1:22744 GODDARD RD
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-4126
Practice Address - Country:US
Practice Address - Phone:313-207-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty