Organization
KBOOSE
Active
Other names
Kboose
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE M YOUNG (CEO)
(616) 228-3324
Entity
Organization
Contact information
Practice address
3008 JUNEBERRY AVE SE, GRAND RAPIDS, MI 49508-1523
(616) 228-3324
Mailing address
3008 JUNEBERRY AVE SE, GRAND RAPIDS, MI 49508-1523
(616) 228-3324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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