Individual
KELLY VAN KAMPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6637 GRAN VIA DR NE, ROCKFORD, MI 49341-9689
(616) 485-2183
Mailing address
6637 GRAN VIA DR NE, ROCKFORD, MI 49341-9689
(616) 485-2183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001075
MI
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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