Individual
ANNETTE KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2111 MERRITT RD, STE 101, EAST LANSING, MI 48823-6916
(517) 332-4263
(517) 332-1132
Mailing address
2111 MERRITT RD, STE 101, EAST LANSING, MI 48823-6916
(517) 332-4263
(517) 332-1132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
154858
WI
363LF0000X
Family Nurse Practitioner
Primary
4704298711
MI
Other
Enumeration date
07/31/2012
Last updated
07/02/2014
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