Individual
KYLE AHONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101025567
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5101025567
MI
Other
Enumeration date
03/21/2017
Last updated
06/16/2022
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