Individual
SHELLY KAHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301063956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104102680
—
MI
Enumeration date
05/05/2006
Last updated
01/28/2020
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