Individual
KELLIE ANN WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1108 VALENTINE CIR, CHATTANOOGA, TN 37405-2866
(231) 920-5625
Mailing address
2329 CENTER ST, BOYNE FALLS, MI 49713-9268
(231) 535-2822
(833) 992-2439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704291998
MI
Other
Enumeration date
10/02/2015
Last updated
03/10/2025
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