Individual provider · Type 1 NPI

Kaya M. Forrestal, MD

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

NPI number 1265336580 Active

Practice location

235 43rd St SW
Grand Rapids, MI 49548-3036

Call (616) 643-7625 Map

Mailing address

1632 Stone St
Saginaw, MI 48602

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1265336580

Kaya M. Forrestal, MD's National Provider Identifier is 1265336580, issued on Oct 8, 2026. 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 Oct 8, 2026.