Individual
KENNETH DAVID FOLLETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1487 STARK AVE NW, GRAND RAPIDS, MI 49534-2270
(616) 893-4327
Mailing address
1487 STARK AVE NW, GRAND RAPIDS, MI 49534-2270
(616) 893-4327
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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