Individual
DR. KELLY NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1015 E PICKARD ST, MOUNT PLEASANT, MI 48858-1062
(989) 775-2133
(989) 775-2165
Mailing address
10682 W HILLIS RD, TRUFANT, MI 49347-9724
(989) 621-6970
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037269
MI
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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