Individual
KELLY BARTHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 44TH ST SW, WYOMING, MI 49519-6439
(616) 252-8300
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18090120354
MI
Other
Enumeration date
04/25/2018
Last updated
09/10/2024
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