Individual
NICOLE KAJY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5254 WATERVIEW DR, WEST BLOOMFIELD, MI 48323-2257
(248) 683-2571
Mailing address
5254 WATERVIEW DR, WEST BLOOMFIELD, MI 48323-2257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704314150
MI
Other
Enumeration date
12/23/2020
Last updated
01/18/2021
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