KELLY KAY WHITAKER

GRAND RAPIDS, MI
NPI1578111092
Former NameKELLY ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704259313)
Enumeration Date2019-08-28
Last Update Date2022-12-20
Business Address
KELLY KAY WHITAKER NP
145 MICHIGAN ST NE STE 3410
GRAND RAPIDS, MI 49503-2563
Phone number: 616-391-9945
Mailing Address
KELLY KAY WHITAKER NP
100 MICHIGN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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