Individual
KIMBERLY FAY SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 EAST AVE, JACKSON, MI 49261
(517) 205-7757
Mailing address
15213 OAK KNOLL DR, MONROE, MI 48161-1078
(734) 344-2063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704283825
MI
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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