Individual
KRISTINE M KIVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1414 W FAIR AVE STE 285, MARQUETTE, MI 49855
(906) 226-4618
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003198
MI
Other
Enumeration date
03/04/2009
Last updated
11/30/2018
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