Kaitlyn Marie Jonkman | Grand Rapids, MI • PECOS Search

Kaitlyn Marie Jonkman

Physical Medicine & Rehabilitation

Allopathic & Osteopathic Physicians

1401 Cedar St NE, Grand Rapids, MI 49503-1375

(616) 486-3900 (616) 308-0088

PECOS Enrollment

Based on the most recent information from CMS, provider Kaitlyn Marie Jonkman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1114501400
Provider Type
Individual
Full Name
Jonkman, Kaitlyn Marie
Credential
PTA

Gender
Female
Sole Proprietor
No
Enumeration Date
5/12/2021
Last Updated
5/12/2021

Contact Information

Practice Location

1401 Cedar St NE, Grand Rapids, MI 49503-1375

Unlisted Fax

Mailing Location

4605 Curwood Ave SE, Kentwood, MI 49508-4616

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208100000X Primary	Description Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians	License 5502004061 Michigan