# SPECTRUM HEALTH KELSEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spectrum Health Kelsey Nurse Practitioners
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477846327
- **Authorized official:** DAVID J OEHRING (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (616) 225-6426

## Contact information

- **Practice address:** 418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
- **Practice address phone:** (989) 352-7211
- **Mailing address:** 418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
- **Mailing address phone:** (989) 352-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | MI | Yes |

## Other

- **Enumeration date:** 05/25/2011
- **Last updated:** 05/25/2011