Individual
KRISTY LYNN MUMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 349-9745
Mailing address
7362 HOPKINTON DR, KALAMAZOO, MI 49009-4097
(248) 763-5461
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704288323
MI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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