Healthcare Provider Details

I. General information

NPI: 1760307300
Provider Name (Legal Business Name): KAYLEE NICOLE HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 W KALAMAZOO AVE
KALAMAZOO MI
49007-3347
US

IV. Provider business mailing address

277 TAFT CT APT C22
BATTLE CREEK MI
49014-4448
US

V. Phone/Fax

Practice location:
  • Phone: 269-568-0650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6451025185
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: