Individual
COLLEEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2794 THAYER AVE, KALAMAZOO, MI 49004-1928
(269) 550-1363
Mailing address
1691 PRAIRIEWOOD CT, OTSEGO, MI 49078-9321
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704260182
MI
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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