Dr. Autumn Rae Nunn Killop, OD, MPH
Optometrist in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1164098893
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1164098893
- Entity type
- Individual (NPI-1)
- Name
- Dr. Autumn Rae Nunn Killop
- Credential
- OD, MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2021
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901005523 | MI | Yes |
Practice location
2820 E Beltline Ln NeGrand Rapids, MI 49525-9432
Phone 616-363-5413 · Fax 616-363-4211
Mailing address
2820 E Beltline Ln NeGrand Rapids, MI 49525-9432
Phone 766-363-5413
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