Individual
DR. JULIE L HENRY-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
27427 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-4729
(586) 754-4417
(586) 754-4473
Mailing address
27427 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-4729
(586) 754-4417
(586) 754-4473
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301066091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4492165
—
MI
01
—
4876080001
NATL SUPPLIER CLEARINGHOU
MI
Enumeration date
06/14/2006
Last updated
02/10/2011
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