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NPI Code Detail

MEDICARE: KRISTIN KUIPER NP

MEDICARE: KRISTIN KUIPER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704285940MI

General Provider Information

NPI Number : 1053711457
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN KUIPER NP
Provider Business Mailing Address
First Line : 602 MICHIGAN AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49423-4918
Country : US
Telephone Number : 616-392-5141
Fax Number :
Provider Business Practice Location Address
First Line : 602 MICHIGAN AVE
Second Line :
City : HOLLAND
State : MI
Zip : 49423-4918
Country : US
Telephone Number : 616-392-5141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2014
Last Update Date : 03/03/2026

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