Individual
KENYATTA BATEKE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
741 WHITES RD, KALAMAZOO, MI 49008-3044
(269) 532-1259
Mailing address
741 WHITES RD, KALAMAZOO, MI 49008-3044
(269) 532-1259
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AF390404688
MI
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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