Individual
MRS. KATHY SUE MINDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7759
(616) 916-0984
(616) 954-2485
Mailing address
2100 RAYBROOK ST SE, GRAND RAPIDS, MI 49546-7759
(616) 916-0984
(616) 954-2485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704170575
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704170575
NURSING LICENSE
MI
Enumeration date
06/03/2013
Last updated
06/03/2013
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