Search › Michigan › 101YP2500X
Kim Childress
NPI 1124410808 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3300 36th St Se
Kentwood, MI 49512 - Phone
- (616) 304-7517
- Clinicians at this address
- 9
Additional practice sites
- 3181 Prairie St Sw Ste 104, Grandville, MI
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan