Individual
KIRSTEN HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 NORTHBROOK ST SE, GRAND RAPIDS, MI 49548-6908
(231) 499-2590
Mailing address
102 NORTHBROOK ST SE, GRAND RAPIDS, MI 49548-6908
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703128503
MI
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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