Individual
MRS. DEBORAH KIEKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., A.T.C.
Contact information
Practice address
1024 136TH AVE, HOLLAND, MI 49424-9467
(616) 786-1043
Mailing address
144 CRESTWOOD DR, HOLLAND, MI 49424-2582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
K216139447093
MI
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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