Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kboose

Organization Specialist · NPI 1255990552

Kboose provides Specialist services 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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