Individual
KEASHA KEINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
35 MICHIGAN ST NE, SUITE 3003, GRAND RAPIDS, MI 49503-2514
(616) 267-2500
(616) 267-2501
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 267-2500
(616) 267-2501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006591
MI
Other
Enumeration date
01/23/2013
Last updated
02/24/2021
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