Individual
KELLY MARIE HOBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
854 WASHINGTON AVE STE 150, HOLLAND, MI 49423-7147
(616) 395-2853
Mailing address
854 WASHINGTON AVE STE 150, HOLLAND, MI 49423-7147
(616) 395-2853
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008518
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053826206
—
MI
Enumeration date
12/11/2017
Last updated
02/05/2026
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