Individual
MRS. KELLY LYNN SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N (INTERN STUDENT)
Contact information
Practice address
1344 BEAVERBROOK DR, HOLLY, MI 48442-8628
(248) 634-3014
Mailing address
1344 BEAVERBROOK DR, HOLLY, MI 48442-8628
(248) 634-3014
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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