Individual
KAYLEY BRUINSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2776 S STATE RD, IONIA, MI 48846-8472
(616) 775-7500
Mailing address
100 MICHIGN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704266227
MI
Other
Enumeration date
09/25/2014
Last updated
05/28/2019
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