Individual
MR. NATHEN JOEL KOKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 245-8580
(269) 341-8294
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704294652
MI
363LF0000X
Family Nurse Practitioner
19088110315
MI
Other
Enumeration date
11/24/2020
Last updated
02/05/2021
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