Gould-Kling, Vicki Jo

Gould-Kling, Vicki Jo is an individual health care provider with primary practice located at 1216 Washington Ave , Port Huron MI 48060-3555. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse First Assistant. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gould-Kling, Vicki Jo can be contacted via phone (810) 982-1111.

Contact Information

Primary practice address
1216 Washington Ave Port Huron MI 48060-3555
Phone: (810) 982-1111
Fax: (810) 982-8848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704134425 Michigan
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 4704134425 Michigan

Profile Details

NPI number 1700995719
LBN Legal business name Gould-Kling, Vicki Jo
Credentials RN MSN ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700995719 NPPES
Michigan MEDICAID 1700995719

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