SPECTRUM HEALTH KELSEY NPI 1477846327

NPI Information

NPI: 1477846327
Provider Name: SPECTRUM HEALTH KELSEY

Doing Business As: SPECTRUM HEALTH KELSEY NURSE PRACTITIONERS

Classification: Registered Nurse - 163WG0000X
Entity Type: Organization

Specialization: General Practice

Address:
418 WASHINGTON ST
LAKEVIEW, MI
ZIP 48850
Phone: (989) 352-7211
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SPECTRUM HEALTH KELSEY is a general practice registered nurse in Lakeview, MI. SPECTRUM HEALTH KELSEY NPI is 1477846327. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Spectrum Health Kelsey Nurse Practitioners.

The provider's business location address is:

418 WASHINGTON ST
LAKEVIEW, MI
ZIP 48850-806
Phone: (989) 352-7211

The provider's authorized official is David J Oehring .
The authorized official title is Vice President Finance and has the following contact phone number (616) 225-6426.

The enumeration date for this NPI number is 5/25/2011 and was last updated on 5/25/2011.

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	163WG0000X	Registered Nurse	General Practice		MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0E96010	MEDICARE PIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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