Individual
KARA GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 CASS ST, TRAVERSE CITY, MI 49684-3236
(231) 941-1155
Mailing address
154 HOMESTEAD LN, TRAVERSE CITY, MI 49686-1837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704300954
MI
Other
Enumeration date
04/15/2019
Last updated
10/28/2020
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