Kenneth Tribley
Counselor, Professional in Ionia, MI. Individual provider (NPI-1).
NPI number1336831767
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1336831767
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Tribley
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
375 Apple Tree DrIonia, MI 48846-7506
Phone 616-527-1790
Mailing address
375 Apple Tree DrIonia, MI 48846-7506
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