KATHRYN LOUISE ELLENS

GRAND RAPIDS, MI
NPI1154819035
Former NameKATHRYN JIPPING
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: MI  4704278582)
Enumeration Date2018-04-26
Last Update Date2023-03-27
Business Address
KATHRYN LOUISE ELLENS NP
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546-8292
Phone number: 616-391-3759
Mailing Address
KATHRYN LOUISE ELLENS NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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