Individual
MRS. KRISTY LYNN KLUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
524 W CENTRE AVE, PORTAGE, MI 49024-5306
(269) 324-1180
Mailing address
6054 WHEATLANDS, SCOTTS, MI 49088-7729
(269) 808-6612
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704224347
MI
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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