Healthcare Provider Details

I. General information

NPI: 1699643882
Provider Name (Legal Business Name): KLOEE CURTIS
Entity Type: Individual
Gender:
Sole Proprietor: N

Provider Other Name: KLOEE FELTON

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3361 36TH ST SE
KENTWOOD MI
49512-2809
US

IV. Provider business mailing address

3361 36TH ST SE
KENTWOOD MI
49512-2809
US

V. Phone/Fax

Practice location:
  • Phone: 616-301-8000
  • Fax:
Mailing address:
  • Phone: 616-301-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: