Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kboose

Organization Specialist · NPI 1255990552

Kboose is a Specialist in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3008 Juneberry Ave SE
Grand Rapids, MI 49508-1523
Phone: (616) 228-3324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1255990552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annie Young — Ceo · (616) 228-3324
Other names Kboose
NPI enumeratedJune 10, 2019
Last updated in NPPESJune 10, 2019
Mailing address3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523

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