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Individual

KIMBERLY ANN LOHR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN, NP

Contact information

Practice address
1050 SILVER DR, TRAVERSE CITY, MI 49684-5749
(231) 947-2255
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704149531
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
10189
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
500D111330
BC/BS
MI
Enumeration date
08/18/2006
Last updated
06/05/2024
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