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Individual

KIMBERLY J NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4368 CLEVELAND AVE, STEVENSVILLE, MI 49127-9595
(269) 983-6501
Mailing address
4368 CLEVELAND AVE, STEVENSVILLE, MI 49127-9595
(269) 983-6501
(269) 983-2237

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704164646
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
71015824A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700993441
MI
Enumeration date
08/25/2006
Last updated
03/24/2026
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