IndividualActive
Kelly Waters, M.D.
NPI 1821232455 · Sleep Medicine (Internal Medicine) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1821232455
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301104008 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4100 Lake Dr Se Ste 200
Grand Rapids, MI 49546-8292
Phone: (616) 391-3759
Fax: (616) 391-3052
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.