Individual
KIRSTIN L MIKEL
Active
Individual
KIRSTIN L MIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
KM220975
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430B810310
BCBS TSC
MI
05
—
46901017
—
MI
01
—
P00270473
MEDICARE RR TSC
MI
Enumeration date
01/20/2006
Last updated
07/21/2022
Update your record
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