Individual
MRS. KASEY R MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
325 84TH ST SW STE 103, BYRON CENTER, MI 49315-9350
(616) 805-3660
Mailing address
1466 CHASE LANE DR SW, BYRON CENTER, MI 49315-9586
(616) 443-7150
(616) 732-6392
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361003491
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7509106890
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/19/2007
Last updated
08/13/2025
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