Individual
KIMBERLY LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 GULL RD, KALAMAZOO, MI 49048-1650
(419) 262-1324
Mailing address
1725 HEMLOCK RD, QUINCY, MI 49082-9630
(419) 262-1324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
33546
TX
363LF0000X
Family Nurse Practitioner
Primary
4704345902
MI
Other
Enumeration date
02/25/2020
Last updated
01/04/2022
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