Individual
KELLY DELONGPRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
72 S STATE ST, SHELBY, MI 49455-1228
(231) 861-2156
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301064775
MI
Other
Enumeration date
08/02/2006
Last updated
02/24/2015
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