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General NPI Number Information
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NPI Number | 1124835673
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Entity Type | Individual
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Provider Name | KELLY RENAE KOBEL FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 30600 NORTHWESTERN HWY STE 245
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3171
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Country | US
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Telephone | 844-475-9526
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Fax | 810-471-3921
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Provider Business Mailing Address
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Address Line | 540 N 8 MILE RD
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City | MIDLAND
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State | MI
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Zip | 48640-9076
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F12240276
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License Number State | MI
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