Search › Michigan › 174400000X

Kum Monroe, MT

NPI 1396121620 · on the registry since 2015 · sole proprietor

Practice

Address
4594 Plainfield Ave Ne Ste A
Grand Rapids, MI 49525
Phone
(616) 365-8483
Fax
(616) 365-8483

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-10

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