Buller, Kathleen

Buller, Kathleen is an individual health care provider with primary practice located at 730 Grandville Ave Sw , Grand Rapids MI 49503-4920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Buller, Kathleen can be contacted via phone (616) 913-8400.

Contact Information

Primary practice address
730 Grandville Ave Sw Grand Rapids MI 49503-4920
Phone: (616) 913-8400
Fax: (616) 742-1322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704096205 Michigan

Profile Details

NPI number 1083623128
LBN Legal business name Buller, Kathleen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083623128 NPPES
Michigan MEDICAID 4925188
Michigan MEDICAID 4636819

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