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Mark Donald Kelley, FNP-BC
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1831130996

Mark Donald Kelley is a Family Nurse Practitioner based in Chicago, MI and is specialized in Family. Mark Donald Kelley practices in Grand Rapids, MI and has the professional credentials of FNP-BC. The NPI Number for Mark Donald Kelley is 1831130996 and holds a License No. 4704173671 (Michigan).

The current practice location address for Mark Donald Kelley is 100 Michigan St Ne, Grand Rapids, MI and can be reached out via phone at 616-391-1680.

Location: 100 Michigan St Ne, Grand Rapids, MI, 60689-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831130996
Provider Name
Mark Donald Kelley
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
100 Michigan St Ne, Grand Rapids, MI, 60689-0001
Phone Number
616-391-1680
Fax Number
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00725240 01 MI RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-391-1680
Fax Number
person
Provider Business Mailing Address Details
Address
100 Michigan St Ne
City
Grand Rapids
State
Michigan
Zip
49503-2560
Phone Number
616-391-1680
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704173671 (Michigan)
Definition
Definition to come...
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