Laureys, Kenlyn Marie

Laureys, Kenlyn Marie is an individual health care provider with primary practice located at 3900 Hollywood Rd , Saint Joseph MI 49085-9149. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Laureys, Kenlyn Marie can be contacted via phone (269) 428-4411.

Contact Information

Primary practice address
3900 Hollywood Rd Saint Joseph MI 49085-9149
Phone: (269) 428-4411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71009215A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704266783 Michigan

Profile Details

NPI number 1558762476
LBN Legal business name Laureys, Kenlyn Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated May 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558762476 NPPES
Indiana Other 71009215A STATE LICENSE

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