Individual
CHRISTIE LYNN KANOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12770 INDIAN MEADOWS DR, CEDAR SPRINGS, MI 49319-8003
(231) 878-8906
Mailing address
12770 INDIAN MEADOWS DR, CEDAR SPRINGS, MI 49319-8003
(231) 878-8906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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