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Carissa Mae Kuchenberg
Student in an Organized Health Care Education/Training Program in Kingsley, Michigan
NPI 1689258139

Carissa Mae Kuchenberg is a Student in an Organized Health Care Education/Training Program based in Escanaba, MI. Carissa Mae Kuchenberg practices in Kingsley, MI. The NPI Number for Carissa Mae Kuchenberg is 1689258139 and holds a License No. (Michigan).

The current practice location address for Carissa Mae Kuchenberg is 4040 Beacon St, Kingsley, MI and can be reached out via phone at 231-263-1350.

Location: 4040 Beacon St, Kingsley, MI, 49829-9523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689258139
Provider Name
Carissa Mae Kuchenberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
4040 Beacon St, Kingsley, MI, 49829-9523
Phone Number
231-263-1350
Fax Number
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4040 Beacon St
City
Kingsley
State
Michigan
Zip
49649-9548
Phone Number
231-263-1350
Fax Number
person
Provider Business Mailing Address Details
Address
4040 Beacon St
City
Kingsley
State
Michigan
Zip
49649-9548
Phone Number
231-263-1350
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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