Kelly Mikail, PA-C

Individual Active
NPI 1497075766
Medical Physician Assistant Grand Rapids, MI

NPI 1497075766 belongs to Kelly Mikail, PA-C, a medical physician assistant with a practice location in Grand Rapids, MI. The NPI was issued on June 9, 2010, and the record was last updated in NPPES on February 18, 2021.

This record hasn't been updated in NPPES since 2021. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 5601005774 (MI)

Practice location

4100 Lake Dr SE
Suite 200
Grand Rapids, MI 49546-8292
Phone: (616) 267-7293

Local context

Active NPPES records list 147 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 121 of them within 10 miles.

The same primary taxonomy is listed by 1,190 in Michigan and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kelly Rose Mikail
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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