Individual
KIMBERLY FEWINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3565 S STATE RD, IONIA, MI 48846-9416
(616) 523-1498
Mailing address
1974 LAGOON DR, OKEMOS, MI 48864-2107
(517) 347-4996
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704159168
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104594488
—
MI
Enumeration date
04/24/2006
Last updated
11/02/2022
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