Eyoome K Agbley, PA-C
Physician Assistant in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1457724965
StatusActive
Last updated in NPPESNov 18, 2025
Details
- NPI
- 1457724965
- Entity type
- Individual (NPI-1)
- Name
- Eyoome K Agbley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2015
- Certification date
- Nov 18, 2025
- Last updated
- Nov 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601007847 | MI | Yes |
| 363A00000X | Physician Assistant | 1001984A | IN |
Other names
- Kwabea E Agbley (Former Name)
Practice location
3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746
Phone 616-363-7272 · Fax 616-361-5828
Mailing address
3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746
Phone 616-363-7272 · Fax 616-361-5828
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