Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kathryn Marie Poulos
Physician Assistant in Plymouth, MI · enumerated 2012.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1083988323
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Registry record
Entity type Individual (Type 1)
Name Kathryn Marie Poulos
Sex Female
Practice address 9377 N Haggerty Rd, Plymouth, MI, 48170
Phone (734) 451-0070
Fax (734) 451-1583
Enumeration date Mar 5, 2012
Last updated in NPPES Oct 22, 2019
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601006317 (MI) Primary
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601006317 | Other | MI | LICENSE |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Kathryn Poulos?
Kathryn Poulos is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-10-22.