Waters, Kelly Anne
Waters, Kelly Anne is an individual health care provider with primary practice located at 4100 Lake Dr Se Ste 200 , Grand Rapids MI 49546-8292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as her primary health care specialty. Waters, Kelly Anne can be contacted via phone (616) 391-3759.Contact Information
Primary practice address
4100 Lake Dr Se Ste 200
Grand Rapids MI 49546-8292
Phone: (616) 391-3759
Fax: (616) 391-3052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 4301104008 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 4301104008 | Michigan |
Profile Details
| NPI number | 1821232455 |
|---|---|
| LBN Legal business name | Waters, Kelly Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2009 |
| Last updated | Feb 19th, 2021 - about 4 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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