Individual
AMY KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 ELEANOR ST NE, GRAND RAPIDS, MI 49505-4184
(616) 350-5634
Mailing address
416 ELEANOR ST NE, GRAND RAPIDS, MI 49505-4184
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704213641
MI
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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