Individual
MRS. AMELIA LOUISE EVENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5623 GULL RD STE 500, KALAMAZOO, MI 49048-1098
(269) 775-8031
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008773
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902387962
—
MI
Enumeration date
08/27/2018
Last updated
06/15/2026
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