Individual
KARA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7782 20TH AVE, JENISON, MI 49428-8524
(616) 685-8700
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503-4328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234571
MI
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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