Individual
KEVIN LAMONT BROWN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 BALL AVE NE, GRAND RAPIDS, MI 49505-5904
(616) 456-6571
Mailing address
3571 WHISPERING BROOK CT SE, GRAND RAPIDS, MI 49508-3779
(616) 264-2218
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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