| Doctor Name: | MRS. KATIE ELIZABETH SIMKOW |
| NPI Number: | 1053770305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 4704273155 |
| Business Practice Address: | 8365 N Newburgh Rd Westland, MI - 481851149 |
| Business Phone Number: | 7344162000 |
| Business Fax Number: | |
| Mailing Address: | 30091 Muirland Dr, FARMINGTON HILLS |
| State: | MI |
| Postal Code: | 483342052 |
| Phone Number: | 7345788870 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2016 |
| NPI Last Update Date: | 02/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 4704273155 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |