Kiekover, Angela K

Kiekover, Angela K is an individual health care provider with primary practice located at 601 Michigan Ave Suite 220, Holland MI 49423-4951. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kiekover, Angela K can be contacted via phone (616) 355-4284.

Contact Information

Primary practice address
601 Michigan Ave Suite 220 Holland MI 49423-4951
Phone: (616) 355-4284
Fax: (616) 355-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501012402 Michigan

Profile Details

NPI number 1891838694
LBN Legal business name Kiekover, Angela K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Oct 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891838694 NPPES
Michigan Other 5501012402 MI STATE LICENSE
Michigan Other 65-0-G0-1466-0 MI STATE LICENSE

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