Individual
MRS. KELSEY ANN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2861 COPPERGROVE DR NE, GRAND RAPIDS, MI 49525-3170
(616) 901-8564
Mailing address
11681 64TH AVE, ALLENDALE, MI 49401-8477
(616) 901-8564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704358989
MI
Other
Enumeration date
11/13/2023
Last updated
06/12/2024
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