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Holly York Llc
Chiropractor in Kentwood, Michigan
NPI 1073803250

Holly York Llc is a Chiropractor based in Kentwood, MI. Holly York Llc practices in Kentwood, MI. The NPI Number for Holly York Llc is 1073803250 and holds a License No. 2301009429 (Michigan).

The current practice location address for Holly York Llc is 3138 Broadmoor Ave Se, Kentwood, MI and can be reached out via phone at 616-575-9105 and via fax at 616-575-9107.

Location: 3138 Broadmoor Ave Se, Kentwood, MI, 49512-1845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073803250
Provider Name
Holly York Llc
Credential
Provider Entity Type
Organization
Address
3138 Broadmoor Ave Se, Kentwood, MI, 49512-1845
Phone Number
616-575-9105
Fax Number
616-575-9107
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376728568 01 MI MEDICAID INDIVIDUAL ID
1922191048 05 MI
institution
Provider Business Practice Location Address Details
Address
3138 Broadmoor Ave Se
City
Kentwood
State
Michigan
Zip
49512-1845
Phone Number
616-575-9105
Fax Number
616-575-9107
person
Provider Business Mailing Address Details
Address
3138 Broadmoor Ave Se
City
Kentwood
State
Michigan
Zip
49512-1845
Phone Number
616-575-9105
Fax Number
616-575-9107
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
2301009429 (Michigan)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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