Individual
KORY JOHN FEETHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18900 16 MILE RD, BIG RAPIDS, MI 49307-8727
(231) 598-9230
(231) 598-9232
Mailing address
18900 16 MILE RD, BIG RAPIDS, MI 49307-8727
(231) 598-9230
(231) 598-9232
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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