MEDICARE: KASEY GEERTMAN

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
1	163W00000X	Registered Nurse	4704351456	MI

General Provider Information

NPI Number	:	1861337867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY GEERTMAN

Provider Business Mailing Address
First Line	:	10771 104TH AVE
Second Line	:
City	:	WEST OLIVE
State	:	MI
Zip	:	49460-9649
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10771 104TH AVE
Second Line	:
City	:	WEST OLIVE
State	:	MI
Zip	:	49460-9649
Country	:	US
Telephone Number	:	616-206-0394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ KASEY GEERTMAN ” Practice Location

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