Individual
KIMBERLY JO BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
421 FOUNTAIN ST NE, GRAND RAPIDS, MI 49503-3334
(616) 776-5120
Mailing address
421 FOUNTAIN ST NE, GRAND RAPIDS, MI 49503-3334
(616) 776-5120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003058
IL
Other
Enumeration date
12/26/2007
Last updated
11/14/2019
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