Individual
KELLY COLLEEN MILTIMORE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CAS
Contact information
Practice address
5130 ROSE HILL BLVD, HOLLY, MI 48442-9507
(248) 634-5530
Mailing address
2397 DENTON CT, MILFORD, MI 48380-2027
(734) 751-8908
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704205236
MI
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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