Individual
KELLY M MERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5101018329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154554749
—
MI
01
—
12670855
CAQH
—
Enumeration date
08/28/2009
Last updated
09/09/2022
Update your record
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