Individual
MR. JORDAN KERBYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6437 FORK AVE SW, GRAND RAPIDS, MI 49548-5450
(616) 427-2994
Mailing address
6437 FORK AVE SW, GRAND RAPIDS, MI 49548-5450
(616) 427-2994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704280685
MI
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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