Individual
AUBREY KINGMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 913-3083
(616) 913-3082
Mailing address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 913-3083
(616) 913-3082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704230723
MI
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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