Individual
MISS KENNEDY DESLYN KOEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
Mailing address
214 N WEST AVE, JACKSON, MI 49201-1903
(517) 784-9189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704371010
MI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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