Provider Demographics
NPI:1952852352
Name:KURINSKY, JENNIFER (ND)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:KURINSKY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:OVERBECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:638 FULTON ST W
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-6313
Mailing Address - Country:US
Mailing Address - Phone:616-264-6556
Mailing Address - Fax:616-432-3561
Practice Address - Street 1:638 FULTON ST W
Practice Address - Street 2:SUITE B
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-6313
Practice Address - Country:US
Practice Address - Phone:616-264-6556
Practice Address - Fax:616-432-3561
Is Sole Proprietor?:No
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1586175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath