Kelli A Malone in Grand Rapids - Physician Assistant
Kelli A Malone - NPI 1598952350
Kelli A Malone is a Physician Assistant in Grand Rapids, Michigan. Kelli A Malone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelli A Malone is 1598952350. The last update date is 2020-01-21.
Kelli A Malone's current location address is 145 Michigan St Ne Ste 3100, Grand Rapids, Michigan. You can contact this provider via phone number 6169549800. The mailing address for Kelli A Malone is 145 Michigan St Ne Ste 3100, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelli A Malone |
|---|---|
| Address | 145 Michigan St Ne Ste 3100, Grand Rapids, Michigan |
| Phone Number | 6169549800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1598952350 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2020-01-21 |
Provider Mailing Address Detail
| Address | 145 Michigan St Ne Ste 3100 |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032563 |
| Phone Number | 6169549800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Kelli A Malone by the Centers for Medicare & Medicaid Services?
The Kelli A Malone has been assigned the NPI (National Provider Identifier) 1598952350 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kelli A Malone's physical address?
The Kelli A Malone is physically located at 145 Michigan St Ne Ste 3100, in the city of Grand Rapids, MI, with the postal code 495032563.
What is the Kelli A Malone's area of specialization and corresponding taxonomy classification?
The Kelli A Malone's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1598952350 to Kelli A Malone?
The Centers for Medicare & Medicaid Services originally issued the 1598952350 to Kelli A Malone on 2007-09-26.
As of what date were the details pertaining to Kelli A Malone last refreshed?
The information related to the Kelli A Malone, including its address, specialty, and other relevant details, was last updated on 2020-01-21.