| Organization Name: | SPECTRUM HEALTH KELSEY |
| NPI Number: | 1477846327 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID J OEHRING (VICE PRESIDENT FINANCE) |
| Mailing Address: | 418 Washington St Lakeview |
| State: | MI US |
| Postal Code: | 488509806 |
| Phone Number: | 9893527211 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2011 |
| NPI Last Update Date: | 05/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |