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Contact Information

KALA A POZIVILKO, PMHNP-C
790 FULLER AVE NE
GRAND RAPIDS, MI49503-1918
 Phone: 616-336-3909
 Fax: 616-336-8830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for KALA A POZIVILKO · (Female)

NPI Number 1669042990
Status Active
Credentials PMHNP-C
Entity Individual
Enumeration date 06/29/2021
Last updated 02/16/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 2021035112
  • MI License # 4704326670
Hospital affiliation(s)
  • SOUTHERN MAINE MEDICAL CENTER - (Acute Care)
    1 MEDICAL CENTER DRIVE
    BIDDEFORD, ME 04005
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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