Individual
KARI PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
863 N PINE RD STE A, ESSEXVILLE, MI 48732-2159
(989) 928-3566
(989) 391-9596
Mailing address
824 W 5TH ST, PINCONNING, MI 48650-8709
(989) 213-6792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601849
EMS LICENSE
MI
Enumeration date
02/20/2020
Last updated
02/20/2020
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