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

Kelly Mann, PA

Individual provider Physician Assistant · NPI 1215568548

Kelly Mann, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Lovell Hand and Orthopedic Center PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2155 E Paris Ave SE Ste 210
Grand Rapids, MI 49546-6195
Phone: (616) 655-1570
Fax: (616) 655-1571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009852 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601009852 (MI)

Record details

NPI number1215568548
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

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 Lovell Hand And Orthopedic Center Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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