| Kelly Ram, Pllc | |
|
2845 44th St Sw Ste 120 Grandville MI 49418-2678 | |
| (616) 805-4839 | |
| Not Available |
| Full Name | Kelly Ram, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2845 44th St Sw Ste 120, Grandville, Michigan |
| Authorized Official Name and Position | Kelly Ram (OWNER) |
| Authorized Official Contact | 6162601038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ram, Pllc 2845 44th St Sw Ste 120 Grandville MI 49418-2678 Ph: (616) 260-1038 | Kelly Ram, Pllc 2845 44th St Sw Ste 120 Grandville MI 49418-2678 Ph: (616) 805-4839 |
| NPI Number | 1477134013 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477134013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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