Individual provider · Type 1 NPI

Kyle Vanbrocklin

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1083406656 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Call (616) 956-8200 Map

Mailing address

746 Fulton St E # 1
Grand Rapids, MI 49503-4445

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5351018131 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083406656

Kyle Vanbrocklin's National Provider Identifier is 1083406656, issued on May 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 20, 2025.