Individual
MRS. KENDRA ANN CALHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 642-2132
Mailing address
1819 3RD ST, WYANDOTTE, MI 48192-4001
(734) 285-5758
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704232995
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704232995
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704232995
MICHIGAN NURSE PRACTITIONER SPECIALTY LICENSE
MI
Enumeration date
09/25/2012
Last updated
01/20/2016
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