Individual
KYLEE GATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4290 COPPER RIDGE DR STE 200, TRAVERSE CITY, MI 49684-7205
(231) 935-8930
(231) 935-8811
Mailing address
4290 COPPER RIDGE DR STE 200, TRAVERSE CITY, MI 49684-7205
(231) 935-8930
(231) 935-8811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704266159
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704266159
LICENSE
MI
Enumeration date
10/11/2012
Last updated
05/21/2026
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