Individual
KATLYNN SUZANNE KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(616) 391-3139
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704321618
MI
Other
Enumeration date
12/02/2021
Last updated
04/06/2022
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