Individual
KAITLIN MICHELLE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4868-2 LAKE MICHIGAN DR, ALLENDALE, MI 49401-7415
(616) 391-2800
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008542
MI
Other
Enumeration date
01/02/2018
Last updated
07/17/2023
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