Individual
KARI MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 W WEST MAPLE RD, WALLED LAKE, MI 48390-3402
(866) 389-2727
Mailing address
100 W WEST MAPLE RD, WALLED LAKE, MI 48390-3402
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704190187
MI
363LP2300X
Primary Care Nurse Practitioner
4704190187
MI
Other
Enumeration date
12/25/2013
Last updated
06/22/2020
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