Individual provider · Type 1 NPI

Valerie Anne Kmak, NURSE PRACTITIONER

Obstetrics & Gynecology Nurse Practitioner · Detroit, MI

NPI number 1396756128 Active

Practice location

4201 Saint Antoine St, 4F
Detroit, MI 48201-2153

Mailing address

231 Vendome Rd
Grosse Pointe Farms, MI 48236-3348

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X4704157115 (MI)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1396756128

Valerie Anne Kmak, NURSE PRACTITIONER's National Provider Identifier is 1396756128, issued on Aug 10, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.