Individual
KIMBERLY A LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
702 W LAKE LANSING RD, EAST LANSING, MI 48823-8526
(517) 332-5342
(517) 316-2893
Mailing address
PO BOX 2337, HOWELL, MI 48844-2337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704257478
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704257478
MI
Other
Enumeration date
10/20/2018
Last updated
12/12/2024
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