| Doctor Name: | AMBER L. KOKKONEN |
| NPI Number: | 1558770495 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 4704253702 |
| Business Practice Address: | 300 Hecla St Laurium, MI - 499132128 |
| Business Phone Number: | 9063379355 |
| Business Fax Number: | 9063374788 |
| Mailing Address: | 300 Hecla St, LAURIUM |
| State: | MI |
| Postal Code: | 499132128 |
| Phone Number: | 9063379355 |
| Fax Number: | 9063374788 |
| NPI Enumeration Date: | 08/05/2014 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704253702 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |