Kenneth J Bates, STUDENTAT
Kenneth J Bates, STUDENTAT is an Athletic Trainer in Grand Haven, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
11275 Hemlock LnGrand Haven, MI 49417-8460
Phone: (616) 402-5386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1285303875 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | STUDENTAT |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2021 |
| Last updated in NPPES | September 8, 2021 |
| Certification date | September 8, 2021 |
| Mailing address | 11275 Hemlock Ln, Grand Haven, MI 49417-8460 |
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