Individual
KEITH ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1675 LEAHY ST, MUSKEGON, MI 49442-5500
(231) 737-1335
Mailing address
15298 NICKOLAS DR, GRAND HAVEN, MI 49417-8975
(616) 638-2025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704287507
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704287507
MI
363LF0000X
Family Nurse Practitioner
4704287507
MI
Other
Enumeration date
06/24/2020
Last updated
11/06/2023
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