Individual
KAITLYN MARIE JONKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
(616) 486-3900
Mailing address
4605 CURWOOD AVE SE, KENTWOOD, MI 49508-4616
(616) 308-0088
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5502004061
MI
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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