Individual
KELLY MARGARET TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-8602
(616) 272-3533
(616) 259-4839
Mailing address
801 ROSEHILL RD, JACKSON, MI 49202-1762
(517) 212-2008
(517) 212-9023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704185718
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704185718
MI
Other
Enumeration date
12/19/2016
Last updated
04/10/2026
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