| Kpep | |
|
519 S Park St Kalamazoo MI 49007-5117 | |
| (269) 383-0450 | |
| (269) 383-2066 |
| Full Name | Kpep |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 519 S Park St, Kalamazoo, Michigan |
| Authorized Official Name and Position | William Deboer (PRESIDENT/CEO) |
| Authorized Official Contact | 2699030510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kpep 519 S Park St Kalamazoo MI 49007-5117 Ph: (269) 383-0450 | Kpep 519 S Park St Kalamazoo MI 49007-5117 Ph: (269) 383-0450 |
| NPI Number | 1922498393 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922498393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 390145 (Michigan) | Primary |
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