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Individual

MRS. HEATHER KAY KOOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-7004
(269) 387-7026
Mailing address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-7004
(269) 387-7026

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40 4702665
MI
01
43-31868
UNITED HEALTHCARE INS/UNITED RESOURCE INSURANCE
MI
Enumeration date
12/12/2008
Last updated
12/12/2008
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