KBOOSE NPI 1255990552

NPI Information

KBOOSE is a specialist in Grand Rapids, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KBOOSE NPI is 1255990552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3008 JUNEBERRY AVE SE
GRAND RAPIDS, MI
ZIP 49508-523
Phone: (616) 228-3324

The provider's authorized official is Annie M Young .
The authorized official title is Ceo and has the following contact phone number (616) 228-3324.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 6/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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