Individual
DR. KEITH GREGORY BOUFFARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
524 S PARK ST, KALAMAZOO, MI 49007-5118
(269) 341-6056
(269) 341-7781
Mailing address
524 S PARK ST, KALAMAZOO, MI 49007-5118
(269) 341-6056
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101029549
MI
207R00000X
Internal Medicine Physician
Primary
5151016189APP23
MI
Other
Enumeration date
05/04/2023
Last updated
08/07/2026
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