Organization
WOUND KINETICS L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE IEDEMA (COO)
(616) 359-2528
Entity
Organization
Contact information
Practice address
1240 WESTLAWN DR, KANKAKEE, IL 60901-4657
(616) 359-2528
Mailing address
4485 SILAS DR, DORR, MI 49323-8003
(616) 359-2529
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
08/20/2024
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