Individual provider · Type 1 NPI

Kyle Brandon Avery

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

NPI number 1942858048 Active

Practice location

223 Prospect Ave NE
Grand Rapids, MI 49503-5649

Call (231) 883-5818 Map

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 1942858048

Kyle Brandon Avery's National Provider Identifier is 1942858048, issued on Sep 1, 2019. 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 Sep 1, 2019.