Individual
SARAH E KELSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN/CPNP
Contact information
Practice address
733 ALQER ST SE, GRAND RAPIDS, MI 49507-3530
(616) 243-9515
(616) 243-1815
Mailing address
733 ALQER ST SE, GRAND RAPIDS, MI 49507-3530
(616) 243-9515
(616) 243-1815
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041338008
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209007232
IL
Other
Enumeration date
08/28/2008
Last updated
05/01/2024
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