Individual
DR. KAITLYN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 68TH ST SE, STE 131, GRAND RAPIDS, MI 49548
(616) 498-7549
Mailing address
344 TAMPA ST SE, KENTWOOD, MI 49548-5863
(269) 757-6292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039482
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871917047
NPPES
—
Enumeration date
02/09/2014
Last updated
10/30/2020
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