Kevin J. Piebenga D.p.m. P.c.

NPI #1215293550 in Hudsonville, Michigan

Provider Information

NPI Number: 1215293550
Entity Type: Organization
Organization Name: Kevin J. Piebenga D.p.m. P.c.
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Apr 11, 2012
Last Updated: Apr 11, 2012

Practice Location

Address: 3330 CENTRAL BOULEVARD
City: Hudsonville
State: Michigan
ZIP Code: 49426-4114
Phone: (616) 669-7525

Authorized Official

Name: DR. KEVIN PIEBENGA
Title: PRESIDENT
Phone: 61666697525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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