Kelly Rose Mikail, PA-C is a medical physician assistant in Grand Rapids, MI with 14 years of experience. Kelly Rose Mikail, PA-C NPI is 1497075766. 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:
4100 LAKE DR SE
SUITE 200
GRAND RAPIDS, MI
ZIP 49546-292
Phone: (616) 267-7293
Fax: (616) 267-7228
The NPI 1497075766 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 6/9/2010 and was last updated on 2/18/2021.