Individual
CHEPCHUMBA C KOTTUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 PINE MEADOW DR SE, KENTWOOD, MI 49512-3092
(616) 634-4222
Mailing address
3301 PINE MEADOW DR SE, KENTWOOD, MI 49512-3092
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042852
MI
Other
Enumeration date
09/12/2017
Last updated
05/18/2023
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