Individual
KENNETH D JEFFERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5623 FIELDSTONE CT, MIDDLEVILLE, MI 49333-8110
(616) 617-9461
Mailing address
5623 FIELDSTONE CT, MIDDLEVILLE, MI 49333-8110
(616) 617-9461
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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