KELLY ELIZABETH KRCMARIK M.D. NPI 1467870394

NPI Information

NPI: 1467870394
Provider Name: KELLY ELIZABETH KRCMARIK, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2511 SAGEWOOD AVE NE UNIT 813
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 204-2067
Get Directions

Kelly Elizabeth Krcmarik, M.D. is a child and adolescent psychiatry psychiatry neurology in Grand Rapids, MI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Kelly Elizabeth Krcmarik, M.D. NPI is 1467870394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2511 SAGEWOOD AVE NE UNIT 813
GRAND RAPIDS, MI
ZIP 49525-950
Phone: (616) 204-2067

The NPI 1467870394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2014 and was last updated on 2/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	4301502433	MICHIGAN	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	271358	MASSACHUSETTS	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	271358	MASSACHUSETTS	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No
5	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	4301502433	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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