Individual
KAITLYN ROSE KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704310971
MI
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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