Individual
KIMBERLY ANN WHITELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2155 84TH ST SW, BYRON CENTER, MI 49315-8260
(616) 878-3600
(616) 878-7098
Mailing address
2155 84TH ST SW, BYRON CENTER, MI 49315-8260
(616) 878-3600
(616) 878-7098
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004711
MI
Other
Enumeration date
06/18/2012
Last updated
11/09/2015
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