Individual
KRISTINA KOFNOVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1613 M 139, BENTON HARBOR, MI 49022-5748
(269) 925-0585
Mailing address
521 WINCHESTER AVE UPPR UNIT, SAINT JOSEPH, MI 49085-1662
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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