Individual
DR. AMANDA L KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAC., LAC, DIP. AC
Contact information
Practice address
7144 HIGHLAND RD, WATERFORD, MI 48327
(248) 931-6606
Mailing address
7144 HIGHLAND RD, WATERFORD, MI 48327-1505
(248) 931-6606
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
5401000051
MI
171100000X
Acupuncturist
Primary
5402000007
MI
171100000X
Acupuncturist
65.000238
OH
Other
Enumeration date
06/21/2012
Last updated
07/10/2023
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