KALLIE RAE KRAKER

GRAND RAPIDS, MI
NPI1578065140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MI  4704280159)
Enumeration Date2018-02-28
Last Update Date2018-02-28
Business Address
KALLIE RAE KRAKER
4118 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3605
Phone number: 616-486-7093
Mailing Address
KALLIE RAE KRAKER
1809 EDGEWOOD AVE SE
GRAND RAPIDS, MI 49506-5112
Phone number: 616-723-7491
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