Individual
KIMBERLEY JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5988 STATE ST, KINGSTON, MI 48741-5111
(989) 683-2221
Mailing address
4225 CHEVINGTON RD, DECKERVILLE, MI 48427-9314
(810) 499-7270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704293337
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704293337
MI
Other
Enumeration date
01/04/2022
Last updated
05/18/2023
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