Individual
KIMBERLY LYNN KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5300 PATTERSON AVE SE STE 125, GRAND RAPIDS, MI 49512-9627
(616) 222-5601
(866) 941-7479
Mailing address
230 S EXCHANGE ST, LAWRENCE, MI 49064-9407
(269) 370-9491
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703107267
MI
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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