Individual
KIMBERLY HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1919 BOSTON ST SE, GRAND RAPIDS, MI 49506-4185
(865) 855-9415
Mailing address
2514 BELKNAP AVE NE, GRAND RAPIDS, MI 49505-3611
(616) 446-1148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005521
MI
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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