Perez, Kelly

Perez, Kelly is an individual health care provider with primary practice located at 15100 Whittaker Way , Grand Haven MI 49417-8696. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Perez, Kelly can be contacted via phone (616) 935-6210.

Contact Information

Primary practice address
15100 Whittaker Way Grand Haven MI 49417-8696
Phone: (616) 935-6210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601002517 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002517 Michigan

Profile Details

NPI number 1376629493
LBN Legal business name Perez, Kelly
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jan 3rd, 2022 - 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 1376629493 NPPES
Michigan Other 0C91143 BCBSM

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