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Individual

MRS. KIMBERLY KAY FENBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CPNP

Contact information

Practice address
684 HARVEY ST, STE 201, MUSKEGON, MI 49442-4274
(231) 773-7837
(231) 773-7943
Mailing address
684 HARVEY ST, STE 201, MUSKEGON, MI 49442-4274
(231) 773-7837
(231) 773-7943

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704137456
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4485859
MI
Enumeration date
07/09/2005
Last updated
02/26/2011
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