Individual
KELLY MARIE STATLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 PROFESSIONAL DR STE D4, FLINT, MI 48532-3636
(810) 407-0890
Mailing address
1063 PROFESSIONAL DR STE D4, FLINT, MI 48532-3636
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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