Individual
KATHLEEN LOUISE VAN BELKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4009 ORCHARD DR, MIDLAND, MI 48640-6122
(989) 839-3510
Mailing address
2618 W SUGNET RD, MIDLAND, MI 48640-2647
(989) 839-9002
(989) 839-1563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KV090812
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301090812
ST LICENSE
MI
Enumeration date
06/29/2007
Last updated
07/08/2007
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