Individual
MISS KATHLEEN SUE DIRKSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 MICHIGAN AVE STE 104, HOLLAND, MI 49423-4951
(616) 392-2361
(616) 392-2364
Mailing address
601 MICHIGAN AVE STE 104, HOLLAND, MI 49423-4951
(616) 392-2361
(616) 392-2364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704110465
MI
Other
Enumeration date
07/13/2006
Last updated
05/21/2010
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