Individual provider · Type 1 NPI

Kelly Michelle McGillicuddy, PA

Physician Assistant · Grand Rapids, MI

NPI number 1437679487 Active

Practice location

2750 E Beltline Ave NE
Grand Rapids, MI 49525-8614

Call (616) 267-7015 Map

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601008325 (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 1437679487

Kelly Michelle McGillicuddy, PA's National Provider Identifier is 1437679487, issued on Jun 21, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 23, 2022.