Most Relevant Information
Provider Data
| NPI Number: | 1003688268 |
| Provider Name: | KELSEY GARRED NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704349612 |
Most Important Dates
| Enumeration Date: | 10/23/2023 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
6200 PINE HOLLOW DR STE 400
EAST LANSING
MI
488239224
Practice Location Phone/Fax
| Phone: | 5173391676 |
| Fax: | 5173392716 |
Provider Mailing Location
6200 PINE HOLLOW DR STE 400
EAST LANSING
MI
488239224
Provider Mailing Phone/Fax
| Phone: | 5173391676 |
| Fax: | 5173392716 |