Individual
MS. KERRI KATHLEEN DELONGCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1414 W FAIR AVE STE 242, MARQUETTE, MI 49855-5406
(844) 670-2273
Mailing address
818 N MAIN ST, ISHPEMING, MI 49849-1533
(906) 204-6810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703089431
MI
172V00000X
Community Health Worker
4703089431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703089431
LICENSED PRACTICAL NURSE
MI
Enumeration date
08/11/2017
Last updated
06/08/2026
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