Provider Demographics
NPI:1245249077
Name:BRUMELS, KIRK ALAN (PHD, ATC)
Entity type:Individual
Prefix:DR
First Name:KIRK
Middle Name:ALAN
Last Name:BRUMELS
Suffix:
Gender:M
Credentials:PHD, ATC
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Mailing Address - Street 1:787 MEADOWBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-7327
Mailing Address - Country:US
Mailing Address - Phone:616-395-7356
Mailing Address - Fax:616-395-7087
Practice Address - Street 1:222 FAIRBANKS AVE
Practice Address - Street 2:DEVOS FIELDHOUSE
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3735
Practice Address - Country:US
Practice Address - Phone:616-396-7356
Practice Address - Fax:616-395-7087
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer