Individual
MRS. KATHRYN IRENE BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2570
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704224923
MI
Other
Enumeration date
07/27/2009
Last updated
11/25/2024
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