| Doctor Name: | DR. ANNE CAMERON KHOL |
| NPI Number: | 1770791246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.D., F.N.P., B.C. |
| License Number: | 4704156986 |
| Business Practice Address: | 1500 S Main St Eaton Rapids, MI - 488271952 |
| Business Phone Number: | 5179994500 |
| Business Fax Number: | 5179994510 |
| Mailing Address: | 11651 S Us Highway 27, DEWITT |
| State: | MI |
| Postal Code: | 488209730 |
| Phone Number: | 5176691164 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 4704156986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |