Individual
KAITLYN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10090 E LIPPINCOTT BLVD, DAVISON, MI 48423-9151
(810) 653-1130
Mailing address
10090 E LIPPINCOTT BLVD, DAVISON, MI 48423-9151
(810) 653-1130
(810) 653-8589
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704292460
MI
Other
Enumeration date
02/13/2023
Last updated
03/06/2024
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