Coleman, Kelly M

Coleman, Kelly M is an individual health care provider with primary practice located at 3535 Park St #110, Norton Shores MI 49444-3736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Coleman, Kelly M can be contacted via phone (231) 739-3511.

Contact Information

Primary practice address
3535 Park St #110 Norton Shores MI 49444-3736
Phone: (231) 739-3511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704243275 Michigan

Profile Details

NPI number 1831133016
LBN Legal business name Coleman, Kelly M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Dec 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831133016 NPPES
Michigan MEDICAID 4837100

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