Individual
KEVIN KINGSHOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-FNP
Contact information
Practice address
1843 N HAGADORN RD, EAST LANSING, MI 48823-2229
(517) 332-5061
Mailing address
18W140 BUTTERFIELD RD FL 15, OAKBROOK TERRACE, IL 60181-4843
(773) 276-2655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704177532
MI
363L00000X
Nurse Practitioner
Primary
4704177532
MI
Other
Enumeration date
11/13/2020
Last updated
03/02/2026
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