person
Kallie Rae Kraker
Primary Care Nurse Practitioner in Grand Rapids, Michigan
NPI 1578065140

Kallie Rae Kraker is a Primary Care Nurse Practitioner based in Grand Rapids, MI and is specialized in Primary Care. Kallie Rae Kraker practices in Grand Rapids, MI. The NPI Number for Kallie Rae Kraker is 1578065140 and holds a License No. 4704280159 (Michigan).

The current practice location address for Kallie Rae Kraker is 4118 Kalamazoo Ave Se, Grand Rapids, MI and can be reached out via phone at 616-486-7093.

Location: 4118 Kalamazoo Ave Se, Grand Rapids, MI, 49506-5112
person
Provider Profile Details
NPI Number
1578065140
Provider Name
Kallie Rae Kraker
Credential
Provider Entity Type
Individual
Gender
Female
Address
4118 Kalamazoo Ave Se, Grand Rapids, MI, 49506-5112
Phone Number
616-486-7093
Fax Number
Provider Enumeration Date
02/28/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4118 Kalamazoo Ave Se
City
State
Zip
49508-3605
Phone Number
616-486-7093
Fax Number
person
Provider Business Mailing Address Details
Address
4118 Kalamazoo Ave Se
City
State
Zip
49508-3605
Phone Number
616-486-7093
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
4704280159 (Michigan)
Definition
Definition to come...
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