Individual
JOAN LYNN DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 PORTAGE ROAD, KALAMAZOO, MI 49001
(269) 833-9702
Mailing address
5259 HICKORY HILL LN, KALAMAZOO, MI 49009-9557
(269) 375-0605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704141638
MI
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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