Kelley, Katherine A
Kelley, Katherine A is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 205 , Grand Rapids MI 49546-8292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Kelley, Katherine A can be contacted via phone (616) 267-7100.Contact Information
Primary practice address
4100 Lake Dr Se Ste 205
Grand Rapids MI 49546-8292
Phone: (616) 267-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 4301500354 | Michigan |
Profile Details
| NPI number | 1245598820 |
|---|---|
| LBN Legal business name | Kelley, Katherine A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Nov 27th, 2023 - about 2 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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