Individual
MR. KORY ALLEN EASTWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3290 N WELLNESS DR STE 220, HOLLAND, MI 49424-7261
(616) 685-7450
(616) 685-7455
Mailing address
3290 N WELLNESS DR STE 220, HOLLAND, MI 49424-7261
(616) 685-7450
(616) 685-7455
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704284756
MI
Other
Enumeration date
07/24/2019
Last updated
12/06/2021
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