Individual
JENNIFER KOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7901 S 12TH ST STE 200, PORTAGE, MI 49024-3831
(269) 341-8585
Mailing address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-2641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704261779
MI
Other
Enumeration date
11/21/2013
Last updated
04/20/2022
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