Kevin E Krum, MA LLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301011184 Issued in MI

Practice address

2981 E Sternberg Rd
Fruitport, MI 49415-8625

Phone

(231) 578-9664

Fax

(616) 336-2475

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1619360500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2981 E STERNBERG RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494158625",
            "telephone_number": "231-578-9664",
            "fax_number": "616-336-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2981 E STERNBERG RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494158625",
            "telephone_number": "231-578-9664",
            "fax_number": "616-336-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUM",
        "first_name": "KEVIN",
        "middle_name": "E",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301011184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Fruitport, MI
• Providers in Fruitport, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.