Individual
BRITTANY LYNN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 WEST UNIVERSITY DRIVE, ROCHESTER, MI 48307
(248) 652-5354
Mailing address
52274 MELODY DR, MACOMB, MI 48042
(313) 550-4943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704251595
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704251595
MI
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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