Individual
MICHELE KACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9126
Mailing address
9084 WASHBURN RD, GOODRICH, MI 48438-8827
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704281379
MI
Other
Enumeration date
11/29/2019
Last updated
11/27/2023
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