Individual
KELLY DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 W BIG BEAVER RD, TROY, MI 48084-3522
(248) 689-1000
Mailing address
3791 EASTBOURNE DR, TROY, MI 48084-1109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007820
MI
Other
Enumeration date
07/01/2016
Last updated
08/02/2016
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