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Individual

KELSEY JOA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50505 SCHOENHERR RD STE 290, SHELBY TOWNSHIP, MI 48315-3141
(586) 314-0080
(877) 673-3562
Mailing address
10270 CLARK RD, DAVISBURG, MI 48350-2708
(586) 314-0080
(877) 673-3562

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704323061
MI
363L00000X
Nurse Practitioner
4704323061
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704323061
MI

Other

Enumeration date
04/27/2022
Last updated
03/11/2025
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