Individual
KIM IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
N5241 US HWY 45, WATERSMEET, MI 49969-0249
(906) 358-4905
(906) 358-4929
Mailing address
N5241 US HWY 45, WATERSMEET, MI 49969-0249
(906) 358-4905
(906) 358-4929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028795
MI
Other
Enumeration date
01/23/2007
Last updated
10/18/2016
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