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NPI Code Detail

MEDICARE: MISS KIMBERLY BYTWERK

MEDICARE: MISS KIMBERLY BYTWERK
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
1101YP2500XProfessional Counselor6401015831MI

General Provider Information

NPI Number : 1417415829
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KIMBERLY BYTWERK
Provider Business Mailing Address
First Line : 250 MONROE AVE NW STE 400
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2293
Country : US
Telephone Number : 616-901-9507
Fax Number :
Provider Business Practice Location Address
First Line : 250 MONROE AVE NW STE 400
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49503-2293
Country : US
Telephone Number : 616-901-9507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 03/05/2019

Similar Medicare Providers

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1457874794 — NATHANAEL CROPSEY LLPC
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Practice Location Address:
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1558837484 — MICHELLE MCDONALD
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Directions to “ MISS KIMBERLY BYTWERK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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