Gilley, Kristen Nicole

Gilley, Kristen Nicole is an individual health care provider with primary practice located at 4294 Laurel Dr , Lake Odessa MI 48849-8430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gilley, Kristen Nicole can be contacted via phone (616) 374-7660.

Contact Information

Primary practice address
4294 Laurel Dr Lake Odessa MI 48849-8430
Phone: (616) 374-7660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601010969 Michigan

Profile Details

NPI number 1760124176
LBN Legal business name Gilley, Kristen Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2022
Last updated Oct 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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