Individual
KELLY M COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
933 3 MILE RD NW STE 210, WALKER, MI 49544-1673
(616) 685-8150
(616) 785-0238
Mailing address
2332 KNAPP FOREST CT NE, GRAND RAPIDS, MI 49525-9750
(812) 459-7649
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704243275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4837100
—
MI
Enumeration date
06/16/2006
Last updated
11/15/2024
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