| Kathy Fenton-miller, RN, ANP-C | |
|
13320 N Boulevard St, Vicksburg, MI 49097-1514 | |
| (269) 649-2012 | |
| (269) 649-3318 |
| Full Name | Kathy Fenton-miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 13320 N Boulevard St, Vicksburg, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558572107 | NPI | - | NPPES |
| 1558572107 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | KF230686 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Fenton-miller, RN, ANP-C 13320 N Boulevard St, Vicksburg, MI 49097-1514 Ph: (269) 649-2012 | Kathy Fenton-miller, RN, ANP-C 13320 N Boulevard St, Vicksburg, MI 49097-1514 Ph: (269) 649-2012 |
Debra Klinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097 Phone: 269-649-2012 Fax: 269-649-3752 | |
Mrs. Rebecca Ann Waurio, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20100 Mint Rd, Vicksburg, MI 49097 Phone: 269-599-1375 |