Individual
KELLEY BETH MCGILLIVRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24353 ORCHARD LAKE RD STE D, FARMINGTON HILLS, MI 48336-1917
(248) 200-3715
Mailing address
26206 W 12 MILE RD STE 105, SOUTHFIELD, MI 48034-1799
(248) 200-3715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704300074
MI
Other
Enumeration date
07/01/2019
Last updated
07/10/2025
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