Individual
NANCY S KINGMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MALLP
Contact information
Practice address
4127 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 264-3202
(616) 264-3201
Mailing address
4127 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 264-3202
(616) 264-3201
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301012936
MI
Other
Enumeration date
05/01/2007
Last updated
09/22/2016
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