Individual
DR. AUTUMN RAE NUNN KILLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD, MPH
Contact information
Practice address
2820 E BELTLINE LN NE, GRAND RAPIDS, MI 49525-9432
(616) 363-5413
(616) 363-4211
Mailing address
2820 E BELTLINE LN NE, GRAND RAPIDS, MI 49525-9432
(766) 363-5413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005523
MI
Other
Enumeration date
06/02/2021
Last updated
03/03/2025
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