Individual
KATHRYN ANN KABELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
336 S RIVER AVE, HOLLAND, MI 49423-3326
(616) 394-3788
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601055666
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601005666
5601005666
MI
Enumeration date
11/03/2009
Last updated
02/24/2021
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