Kelly Perez, PAC

NPI #1376629493 in Grand Haven, Michigan

Provider Information

NPI Number: 1376629493
Entity Type: Individual
Name: Kelly Perez, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Oct 31, 2006
Last Updated: Jan 3, 2022

Practice Location

Address: 15100 WHITTAKER WAY
City: Grand Haven
State: Michigan
ZIP Code: 49417-8696
Phone: (616) 935-6210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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