Individual
KRIS MACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5715 BELLA ROSA BLVD STE 100, CLARKSTON, MI 48348-4776
(248) 625-6677
Mailing address
6303 WALDON CENTER DR, CLARKSTON, MI 48346-4812
(248) 343-0738
(248) 343-0738
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704228746
MI
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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