Individual
KAITLYN KEATING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 475-8300
(616) 456-6396
Mailing address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 475-8300
(616) 456-6396
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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