Individual
STANLEY BENJAMIN KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
608 WRIGHT AVE, ALMA, MI 48801-1600
(989) 463-4971
Mailing address
PO BOX 62, ALMA, MI 48801-0062
(989) 463-4971
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704274210
MI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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