Kimberly Kay Provoast
ActiveMichigan license 5601005840
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601005840
- Status
- Active
- First issued
- October 19, 2010
- Expires
- October 19, 2028
- License holder
- Kimberly Kay Provoast
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons