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Kimberly Kay Lange, FNP-BC
Family Nurse Practitioner in Fenton, Michigan
NPI 1386364164

Kimberly Kay Lange is a Family Nurse Practitioner based in Fenton, MI and is specialized in Family. Kimberly Kay Lange practices in Fenton, MI and has the professional credentials of FNP-BC. The NPI Number for Kimberly Kay Lange is 1386364164 and holds a License No. 4704224018 (Michigan).

The current practice location address for Kimberly Kay Lange is 13342 White Lake Rd, Fenton, MI and can be reached out via phone at 810-278-6646.

Location: 13342 White Lake Rd, Fenton, MI, 48430-8401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386364164
Provider Name
Kimberly Kay Lange
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
13342 White Lake Rd, Fenton, MI, 48430-8401
Phone Number
810-278-6646
Fax Number
Provider Enumeration Date
08/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13342 White Lake Rd
City
Fenton
State
Michigan
Zip
48430-8401
Phone Number
810-278-6646
Fax Number
person
Provider Business Mailing Address Details
Address
13342 White Lake Rd
City
Fenton
State
Michigan
Zip
48430-8401
Phone Number
810-278-6646
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704224018 (Michigan)
Definition
Definition to come...
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