KBOOSE
NPI 1255990552
Specialist in Grand Rapids, MI

Q: What is Kboose's NPI number?

The NPI number for Kboose is 1255990552. It was assigned to this organization in the NPPES registry on June 10, 2019.

Q: What is Kboose's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kboose was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2019

3008 JUNEBERRY AVE SE, GRAND RAPIDS, MI 49508(616) 228-3324 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kboose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KBOOSE (NPI 1255990552) is a healthcare organization registered as a specialist in Grand Rapids, Michigan and active in the NPI registry since June 2019. The organization lists Annie M Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255990552

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKBOOSE

Location Address3008 JUNEBERRY AVE SEGrand Rapids, MI 49508-1523

Mailing Address3008 Juneberry Ave SeGrand Rapids, MI 49508-1523 · (616) 228-3324

Phone(616) 228-3324

Organization SubpartNo

Authorized OfficialAnnie M YoungCeo · (616) 228-3324

Enumeration DateJune 10, 2019

✔ NPI 1255990552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3008 JUNEBERRY AVE SE, Grand Rapids, MI 49508

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Other Names 1

Doing Business AsKboose

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kboose's NPI number?

The NPI number for Kboose is 1255990552. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is Kboose located?

Kboose is located at 3008 Juneberry Ave SE, Grand Rapids, MI 49508. The listed phone number is (616) 228-3324.

What is Kboose's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kboose was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.