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Individual

LESLIE ANN KEARFOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP/ FNP-C

Contact information

Practice address
1009 W GREEN ST, HASTINGS, MI 49058-1710
(269) 948-3129
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704266343
MI
363LN0000X
Neonatal Nurse Practitioner
APRN11025268
FL

Other

Enumeration date
09/14/2013
Last updated
05/23/2023
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