Individual
JUSTIN ROBERT KAPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
14695 PARK AVE STE A, CHARLEVOIX, MI 49720-1920
(321) 487-2270
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012888
MI
Other
Enumeration date
11/14/2024
Last updated
06/29/2026
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