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General NPI Number Information
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NPI Number | 1245723246
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Entity Type | Individual
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Provider Name | KELLY R HOWARD NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 145 MICHIGAN ST NE STE 3410
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2563
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Country | US
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Telephone | 616-391-9945
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MICHIGAN ST NE MC 845
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4704260160
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License Number State | MI
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