Individual
MS. BRENDA A KIRTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5181 PLAINFIELD NE, SUITE B, GRAND RAPIDS, MI 49525
(616) 863-9999
Mailing address
4431 16 MILE RD NE, CEDAR SPRINGS, MI 49319
(616) 863-9999
(616) 419-3307
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703099161
MI
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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