Healthcare Provider Details

I. General information

NPI: 1639006562
Provider Name (Legal Business Name): KIRSTEN STOREMSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5465 GULL RD
KALAMAZOO MI
49048-1014
US

IV. Provider business mailing address

1716 BURKE AVE NE
GRAND RAPIDS MI
49505-4853
US

V. Phone/Fax

Practice location:
  • Phone: 269-349-7631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: