Provider Demographics
NPI:1689498727
Name:BRIGHT, KELCI (PA)
Entity type:Individual
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First Name:KELCI
Middle Name:
Last Name:BRIGHT
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1 CAMPUS DR.
Mailing Address - Street 2:2015 JAMES H. ZUMBERGE HALL
Mailing Address - City:ALLENDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49401-9403
Mailing Address - Country:US
Mailing Address - Phone:616-331-5700
Mailing Address - Fax:616-331-5999
Practice Address - Street 1:2200 DENDRINOS DR.
Practice Address - Street 2:SUITE 102
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684
Practice Address - Country:US
Practice Address - Phone:616-331-5700
Practice Address - Fax:616-331-5999
Is Sole Proprietor?:No
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant