Individual
KELLEY A NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRM CPS RN
Contact information
Practice address
960 M 60 E, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3836
Mailing address
960 M 60 E, CASSOPOLIS, MI 49031-9339
(269) 445-2451
(269) 445-3836
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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