Individual
KYLE A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1881 W GRAND RIVER AVE, OKEMOS, MI 48864-1840
(517) 339-2100
(517) 339-4620
Mailing address
1881 W GRAND RIVER AVE, OKEMOS, MI 48864-1840
(517) 339-2100
(517) 339-4620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704316011
MI
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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