Individual
KELLY VANKOEVERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7444
Mailing address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/10/2018
Last updated
03/10/2018
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