Christie Lynn Kanouse
Individual provider Active NPI Specialist · Cedar Springs, MI
NPI 1972379543 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1972379543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 12770 Indian Meadows Dr
Cedar Springs, MI 49319-8003 - Phone
- (231) 878-8906
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
12770 Indian Meadows Dr
Cedar Springs, MI 49319-8003
Mailing address
12770 Indian Meadows Dr
Cedar Springs, MI 49319-8003
Phone (231) 878-8906
Other providers in Cedar Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.