Individual
MISS KRISTEN BARRETT WIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8088 VINEYARD PKWY, KALAMAZOO, MI 49009-3892
(269) 286-7090
Mailing address
601 JOHN STREET, BOX 42, KALAMAZOO, MI 49007
(269) 969-6123
(269) 969-6122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004402
MI
Other
Enumeration date
07/20/2005
Last updated
11/16/2022
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