AMANDA LEE KELLY

GRAND RAPIDS, MI
NPI1417228305
Former NameAMANDA LEE VANLIERE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006237)
Enumeration Date2012-01-24
Last Update Date2021-02-26
Business Address
AMANDA LEE KELLY PA
230 MICHIGAN ST NE SUITE 230
GRAND RAPIDS, MI 49503-2550
Phone number: 616-774-2822
Mailing Address
AMANDA LEE KELLY PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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