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Individual
JENELLE KALVODA
Active
Individual
JENELLE KALVODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704259852
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704259852
MI
Other
Enumeration date
04/25/2017
Last updated
08/21/2026
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