NPI 1255990552

Kboose

Organisation Specialist Grand Rapids, MI

Practice location

Address: 3008 Juneberry Ave SE, Grand Rapids, MI 49508-1523
Phone: (616) 228-3324

Authorised official

Name: Annie M Young
Title: Ceo
Phone: (616) 228-3324

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1255990552
Entity type: Organization
NPI issued: 10 Jun 2019
Record last updated: 10 Jun 2019

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.