Individual
KELLY SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2725 AIRVIEW BLVD STE 105, PORTAGE, MI 49002-1804
(269) 349-8386
(269) 349-8397
Mailing address
PO BOX 40412, BELFAST, ME 04915-1255
(248) 824-6500
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008809
MI
Other
Enumeration date
09/10/2018
Last updated
10/07/2025
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