Active NPI
Kathleen L Kudray, DO
- Family Medicine Physician
- Flint, MI
National Provider Identifier
1144211160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101008921
- Practice address
- 1314 S Linden Rd
Flint, MI 48532-3456 - Phone
- (810) 342-1700
- Fax
- (810) 720-4057
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101008921 | MI | Primary |
Addresses
Primary practice location
1314 S Linden Rd
Flint, MI 48532-3456
Mailing address
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-1000
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0192508465 | Other | MI | HEALTH PLUS |
| C1640 | Other | MA | MCARE |
| 204381 | Other | MI | HEALTH ADVANTAGE NETWORK |
| 0152508465 | Other | MA | BLUE CROSS BLUE SHIELD |
| 080098250/CD3610 | Other | MI | METRAHEALTH |
| E26245 | Other | MI | HEALTH ALLIANCE PLAN |
| 204381 | Other | MI | MCLAREN HEALTH PLAN |
| 4073608 | Other | MI | AETNA |
| 4380463 | Medicaid | MI | |
| 1982939 | Other | MI | CIGNA |
| E26245 | Other | MI | HEALTH NET FEDERAL SERV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144211160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485323638",
"telephone_number": "810-342-1000",
"fax_number": "810-342-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S LINDEN RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485323456",
"telephone_number": "810-342-1700",
"fax_number": "810-720-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDRAY",
"first_name": "KATHLEEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101008921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "0192508465",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE",
"identifier": "C1640",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE NETWORK",
"identifier": "204381",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0152508465",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH",
"identifier": "080098250/CD3610",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "E26245",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN",
"identifier": "204381",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4073608",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4380463",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1982939",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET FEDERAL SERV",
"identifier": "E26245",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.