Kelly Ann Conley
Nurse Practitioner - Women's Health
145 Michigan St Ne Suite 6300
Grand Rapids
, Michigan 49503-2562
Kelly Ann Conley
Nurse Practitioner - Women's Health
145 Michigan St Ne Suite 6300
Grand Rapids
, Michigan 49503-2562
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Kelly Ann Conley
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Kelly Ann Conley
- 145 Michigan St Ne Suite 6300
- Grand Rapids, MI
- Zip : 49503-2562
- Fax : (616) 486-2065
- Phone : (616) 486-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 4704270073 | MI |
National Provider Identifier
| NPI | 1013294222 |
|---|---|
| Provider Name | Kelly Ann Conley |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-2562 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2011 |
| Last Update Date | 23/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.