Individual
MARY E KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C, CWOCN
Contact information
Practice address
601 JOHN ST STE W-308, KALAMAZOO, MI 49007-5357
(269) 341-8827
Mailing address
1717 SHAFFER ST, SUITE 202, KALAMAZOO, MI 49048-1647
(269) 552-0014
(269) 552-0014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704166661
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4859242
—
MI
05
—
73227731
—
CO
Enumeration date
07/24/2006
Last updated
12/13/2021
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