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Kevin Poole JR., REGISTEREDNURSE
Medical-Surgical Registered Nurse in Flushing, Michigan
NPI 1598382905

Kevin Poole JR. is a Medical-Surgical Registered Nurse based in Flushing, MI and is specialized in Medical-Surgical. Kevin Poole JR. practices in Flushing, MI and has the professional credentials of REGISTEREDNURSE. The NPI Number for Kevin Poole JR. is 1598382905 and holds a License No. 4704350959 (Michigan).

The current practice location address for Kevin Poole JR. is 3044 Shabay Dr Bldg 1, Flushing, MI and can be reached out via phone at 810-265-8514.

Location: 3044 Shabay Dr Bldg 1, Flushing, MI, 48433-2459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598382905
Provider Name
Kevin Poole JR.
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Male
Address
3044 Shabay Dr Bldg 1, Flushing, MI, 48433-2459
Phone Number
810-265-8514
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704350959 01 MI NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
3044 Shabay Dr Bldg 1
City
Flushing
State
Michigan
Zip
48433-2459
Phone Number
810-265-8514
Fax Number
person
Provider Business Mailing Address Details
Address
3044 Shabay Dr Bldg 1
City
Flushing
State
Michigan
Zip
48433-2459
Phone Number
810-265-8514
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
4704350959 (Michigan)
Definition
Definition to come...
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