Individual
KIMBERLY SUZANNE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
601 S US HIGHWAY 131, THREE RIVERS, MI 49093-8831
(269) 286-7070
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
(269) 341-6417
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704276873
MI
Other
Enumeration date
05/16/2018
Last updated
12/02/2022
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