Individual
MISS KAELYN CAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2100 4TH ST, JACKSON, MI 49203-4518
(517) 787-4332
Mailing address
2100 4TH ST, JACKSON, MI 49203-4518
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704300215
MI
Other
Enumeration date
09/27/2018
Last updated
01/28/2022
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