Kevin Deridder, PHARM.D

NPI 1417236514 · on the registry since 2011

Practice

Address: 5859 28th St Se
Grand Rapids, MI 49546
Phone: (616) 949-9892
Organisation at this address: Rebecca J Colburn
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Colburn Family Eyecare, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-09-17

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