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

Kellie R. Kwekel

Individual provider Physician Assistant · NPI 1962044115

Kellie R. Kwekel is a Physician Assistant in Holland, Michigan. Qualified in 2019, 7 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

602 Michigan Ave
Holland, MI 49423-4918
Phone: (616) 392-5141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 Michigan St Ne, Grand Rapids, MI 49503-2560 — (616) 391-1730
  • 416 Connable Ave, Petoskey, MI 49770-2212 — (800) 248-6777

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962044115
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Holland