Individual
DR. KEVIN ANDREW SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1445 SHELDON RD, STE 3000, GRAND HAVEN, MI 49417
(616) 296-1500
(616) 296-1502
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6982
(800) 494-5797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101022547
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548619943
—
MI
Enumeration date
06/07/2016
Last updated
11/25/2025
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