Individual provider · Type 1 NPI

Lyndsey Kelly

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1962373993 Active

Practice location

145 Michigan St NE Ste 6300
Grand Rapids, MI 49503-2562

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704356731 (MI)
Nurse Practitioner 363L00000X4704356731 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1962373993

Lyndsey Kelly's National Provider Identifier is 1962373993, issued on Sep 15, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 12, 2026.