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Contact Information

KELLY A BRUCH, RN, MSN, CNM
80 68TH ST SE STE 301
GRAND RAPIDS, MI49548-6980
 Phone: 616-391-3302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KELLY A BRUCH · (Female)

NPI Number 1235876178
Status Active
Credentials RN, MSN, CNM
Entity Individual
Enumeration date 05/12/2022
Last updated 08/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704330667
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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