Kailee Nisonger

NPI #1013557453 in Jackson, Michigan

Provider Information

NPI Number: 1013557453
Entity Type: Individual
Name: Kailee Nisonger
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 122 HIGHLAND DR
City: Jackson
State: Michigan
ZIP Code: 49201-9164
Phone: (517) 740-7422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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