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Great Lakes Spine and Medical Pllc

Durable Medical Equipment & Medical Supplies in Holt, MI · enumerated 2023 · authorized official Jeffrey Kelly, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750080545

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Spine and Medical Pllc
Practice address 4573 Willoughby Rd Ste B, Holt, MI, 48842
Phone (517) 699-2646
Fax (517) 699-5434
Enumeration date Mar 1, 2023
Last updated in NPPES Mar 1, 2023

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Jeffrey Kelly
Title Owner
Phone (989) 792-6702

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-01. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Spine and Medical Pllc located?
The practice location on file with NPPES is in Holt, MI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-01.