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General NPI Number Information
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NPI Number | 1568380475
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Entity Type | Organization
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Legal Business Name | KA WELLNESS PLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 3343 SPRING ARBOR RD STE 300
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City | JACKSON
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State | MI
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Zip | 49203-8623
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Country | US
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Telephone | 517-748-7399
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Fax |
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Provider Business Mailing Address
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Address Line | 3343 SPRING ARBOR RD STE 300
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City | JACKSON
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State | MI
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Zip | 49203-8623
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Country | US
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Telephone | 517-748-7399
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Fax |
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Authorized Official
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Title or Position | NP
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Name | KRISTEN YOKLEY
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Credential |
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Telephone | 517-888-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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