Individual
KELLY DRENTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2775 PORT SHELDON ST, JENISON, MI 49428-9359
(616) 669-0970
Mailing address
4313 42ND ST SW, GRANDVILLE, MI 49418-2310
(616) 745-0304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704301410
MI
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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