AMANDA LEE KELLY

ADA, 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 Date2025-01-06
Business Address
AMANDA LEE KELLY PA
7128 FULTON ST E
ADA, MI 49301-8413
Phone number: 616-825-3530
Mailing Address
AMANDA LEE KELLY PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: