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Individual

KELSEY RENEE KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
10438 PENNRIDGE DR, PORTAGE, MI 49024-4526
(616) 848-6054

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
19007090128
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704347366
MI

Other

Enumeration date
10/17/2019
Last updated
06/26/2023
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