Individual
JACOB KEUNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3912 32ND AVE, HUDSONVILLE, MI 49426-8460
(616) 252-8700
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704354547
MI
Other
Enumeration date
10/22/2024
Last updated
02/26/2025
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