Individual
KYLEIGH CHRISTINE EGNATUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4024 PARK EAST CT SE STE C, GRAND RAPIDS, MI 49546-8810
(616) 975-1186
Mailing address
4024 PARK EAST CT SE STE C, GRAND RAPIDS, MI 49546-8810
(616) 975-1186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
09/13/2023
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