Individual
KELLY R. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 CAMPUS DR, HANCOCK, MI 49930-1452
(906) 483-1060
(906) 372-3230
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 483-1060
(906) 372-3230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301505851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184886137
—
MI
Enumeration date
07/01/2008
Last updated
01/14/2022
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