Individual
MRS. KIMBERLY KAY KANTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704381703
MI
163WH0200X
Home Health Registered Nurse
246582
OH
Other
Enumeration date
04/25/2006
Last updated
11/22/2021
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