Individual provider · Type 1 NPI

Leigh Kelly Shoemaker, M.S., PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1225349657 Active

Practice location

2060 Division Ave S
Grand Rapids, MI 49507-3029

Call (616) 475-8446 Map

Fax (616) 475-1272

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601005758 (MI)

Medical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1225349657

Leigh Kelly Shoemaker, M.S., PA-C's National Provider Identifier is 1225349657, issued on Jun 30, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on May 5, 2025.