Individual
KIM HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2779
Mailing address
4635 PINE DR, HOLLAND, MI 49423-8922
(616) 610-1204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
877154
MI
Other
Enumeration date
04/15/2020
Last updated
11/27/2023
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