Individual provider · Type 1 NPI

Kelly Mann, P.A.

Physician Assistant · Grand Rapids, MI

NPI number 1215568548 Active

Practice location

2155 E Paris Ave SE Ste 210
Grand Rapids, MI 49546-6195

Fax (616) 655-1571

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	5601009852 (MI)
Surgical Physician Assistant	363AS0400X	5601009852 (MI)

Physician Assistant: 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 perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215568548

Kelly Mann, P.A.'s National Provider Identifier is 1215568548, issued on Jan 27, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 18, 2026.