NPI 1437626942
Kelly J Stafford
Practice location
- Address
- 1060 W Norton Ave, Muskegon, MI 49441-4175
- Phone
- (231) 777-2222
- Mailing address
- 15126 160th Ave, Grand Haven, MI 49417-8922
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1437626942
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Nov 2018
- Record last updated
- 1 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.