Individual
HEIDI L KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 VILLAGE DR, MUSKEGON, MI 49442-4282
(231) 672-2700
Mailing address
3901 NESTROM RD, WHITEHALL, MI 49461-9714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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