Individual
KAITLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3101 PRAIRIE ST SW, GRANDVILLE, MI 49418-2047
(616) 531-9973
Mailing address
3101 PRAIRIE ST SW, GRANDVILLE, MI 49418-2047
(616) 531-9973
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704420655
MI
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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