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Individual

AMBER L. KOKKONEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
300 HECLA ST, LAURIUM, MI 49913-2128
(906) 337-9355
(906) 337-4788
Mailing address
300 HECLA ST, LAURIUM, MI 49913-2128
(906) 337-9355
(906) 337-4788

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704253702
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1558770495
MI
Enumeration date
08/05/2014
Last updated
11/05/2015
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