Individual
KELLY ELIZABETH KRCMARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2511 SAGEWOOD AVE NE UNIT 813, GRAND RAPIDS, MI 49525-2950
(616) 204-2067
Mailing address
2511 SAGEWOOD AVE NE UNIT 813, GRAND RAPIDS, MI 49525-2950
(616) 204-2067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
271358
MA
2084P0800X
Psychiatry Physician
4301502433
MI
2084P0804X
Child & Adolescent Psychiatry Physician
271358
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301502433
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2014
Last updated
02/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us