Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellen McCormick, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1811692056

Kellen McCormick, MD is an Obstetrics & Gynecology Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

330 Barclay Ave NE Ste 304
Grand Rapids, MI 49503-2527
Phone: (616) 391-2160
Fax: (616) 391-2683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4351051291 (MI)

Record details

NPI number1811692056
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023
Mailing address330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503-2527

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