Individual
KYNETTE WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20806 EASTLAWN ST, APT#79, SAINT CLAIR SHORES, MI 48080-1608
(313) 241-1462
Mailing address
20806 EASTLAWN ST, APT#79, SAINT CLAIR SHORES, MI 48080-1608
(313) 241-1462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704368248
MI
164W00000X
Licensed Practical Nurse
4703113538
MI
Other
Enumeration date
08/08/2014
Last updated
02/01/2021
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