Kelly Rose Mikail PA-C

  • NPI 1497075766
According to our database, the NPI number for Kelly Rose Mikail PA-C is 1497075766 and activated since 13 years ago. Kelly Rose Mikail PA-C is an individual provider who specializes in Medical, and the primary practice location is 4100 Lake Dr Se, Grand Rapids, MI 49546. You can also contact Kelly Rose Mikail PA-C via telephone number is (616) 267-7293. Provider NPI information was last updated on 02/18/2021.

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Overview of Kelly Rose Mikail PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 06/09/2010
  • Last updated: 02/18/2021

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 5601005774
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne
    Mc845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 4100 Lake Dr Se
    Suite 200
    Grand Rapids, MI 49546
  • Phone: 616-267-7293
  • Fax: 616-267-7228

Scope of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: 5601005774
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1497075766
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MI
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Rose Mikail PA-C?
  • A: The npi number for Kelly Rose Mikail PA-C is 1497075766.
  • Q: What are Kelly Rose Mikail PA-C's specialties?
  • A: Kelly Rose Mikail PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for Kelly Rose Mikail PA-C?
  • A: The medical license number for Kelly Rose Mikail PA-C is 5601005774 and issued in MI in USA.
  • Q: Where is Kelly Rose Mikail PA-C practice location?
  • A: Kelly Rose Mikail PA-C is practicing at 4100 Lake Dr Se, Grand Rapids, MI 49546.
  • Q: How to contact Kelly Rose Mikail PA-C?
  • A: You can contact Kelly Rose Mikail PA-C via 616-267-7293.