Christie Lynn Kanouse

NPI #1972379543 in Cedar Springs, Michigan

Provider Information

NPI Number: 1972379543
Entity Type: Individual
Name: Christie Lynn Kanouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 12770 INDIAN MEADOWS DR
City: Cedar Springs
State: Michigan
ZIP Code: 49319-8003
Phone: (231) 878-8906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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