Organization · Type 2 NPI

Kboose

Specialist · Grand Rapids, MI

NPI number 1255990552 Active

Practice location

3008 Juneberry Ave SE
Grand Rapids, MI 49508-1523

Call (616) 228-3324 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1255990552

Kboose's National Provider Identifier is 1255990552, issued on Jun 10, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 10, 2019.