Individual
KAYLIN HURLBURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3670
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
4704309661
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704309661
RN
MI
Enumeration date
07/18/2019
Last updated
07/18/2019
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