Individual
ALEXIS MARIE VANKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2112 PALMS RD, COLUMBUS, MI 48063-3904
(810) 956-4960
Mailing address
2112 PALMS RD, COLUMBUS, MI 48063-3904
(810) 956-4960
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112947
MI
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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