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Ryan Lee Kamphuis, CRNA

Nurse Anesthetist, Certified Registered in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1619081544
StatusActive
Last updated in NPPESJul 3, 2014

Details

NPI
1619081544
Entity type
Individual (NPI-1)
Name
Mr. Ryan Lee Kamphuis
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 18, 2006
Last updated
Jul 3, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered4704225062MIYes

Practice location

3333 Evergreen Dr Ne
Grand Rapids, MI 49525-9756

Phone 616-364-4200 · Fax 616-364-7347

Mailing address

3333 Evergreen Dr Ne
Grand Rapids, MI 49525-9756

Phone 616-364-4200 · Fax 616-364-7347

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