Keck, Jennifer Deibert

Keck, Jennifer Deibert is an individual health care provider with primary practice located at 7345 Jewelbrooke Dr Se , Grand Rapids MI 49548-7323. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Keck, Jennifer Deibert can be contacted via phone (602) 312-1924.

Contact Information

Primary practice address
7345 Jewelbrooke Dr Se Grand Rapids MI 49548-7323
Phone: (602) 312-1924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 4704339975 Michigan

Profile Details

NPI number 1972160745
LBN Legal business name Keck, Jennifer Deibert
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2019
Last updated May 28th, 2019 - about 5 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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