Healthcare Provider Details

I. General information

NPI: 1457040784
Provider Name (Legal Business Name): KELLY MARIE SHANGLE BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 JEFFERSON AVE SE
GRAND RAPIDS MI
49503-4597
US

IV. Provider business mailing address

260 JEFFERSON AVE SE
GRAND RAPIDS MI
49503-4597
US

V. Phone/Fax

Practice location:
  • Phone: 616-336-3909
  • Fax:
Mailing address:
  • Phone: 616-336-3909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: