NPI 1073172649
Kiss
Practice location
- Address
- 2130 Enterprise St SE STE 232, Kentwood, MI 49508-5352
- Phone
- (616) 333-3503
Authorised official
- Name
- Christian Ward
- Title
- Office Manager
- Phone
- (616) 333-3503
Registered specialties (4)
Nursing Care Agency
Primary
Case Management Agency
Home Health Agency
In Home Supportive Care Agency
Registry record
- NPI
- 1073172649
- Entity type
- Organization
- NPI issued
- 7 Jun 2019
- Record last updated
- 9 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.