Individual
KELLY GINGRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2600 LAFRANIER RD, TRAVERSE CITY, MI 49686-4765
(231) 995-6111
Mailing address
2600 LAFRANIER RD, TRAVERSE CITY, MI 49686-4765
(231) 995-6148
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704314487
MI
Other
Enumeration date
03/18/2021
Last updated
03/02/2023
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