Individual
KAYLA JANE VREDEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3152 PORT SHELDON ST STE C, HUDSONVILLE, MI 49426-9297
(616) 669-9238
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007907
MI
Other
Enumeration date
08/19/2016
Last updated
02/14/2023
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