Individual
KATHRYN JEAN NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 ATKINSON DRIVE, SUITE #207, LUDINGTON, MI 49431
(231) 843-3600
(231) 845-9887
Mailing address
5 ATKINSON DRIVE, SUITE #207, LUDINGTON, MI 49431
(231) 843-3600
(231) 845-9887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5008703470
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008703470
BC BS
MI
01
—
DC1085
RAILROAD MEDICARE
MI
Enumeration date
10/16/2006
Last updated
07/08/2007
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