Individual
KENDELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 14TH AVE, MENOMINEE, MI 49858-2549
(906) 290-1490
(906) 228-2469
Mailing address
1717 14TH AVE, MENOMINEE, MI 49858-2549
(906) 290-1490
(906) 228-2469
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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