Individual
KATHLEEN VAN VALKENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
420 PINE ST, BAD AXE, MI 48413-1253
(989) 551-4876
Mailing address
420 PINE ST, BAD AXE, MI 48413-1253
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703103079
MI
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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