Individual
KELSI SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 JOHNSON ST, ALPENA, MI 49707-1434
(989) 354-2515
Mailing address
20095 COUNTY ROAD 451, HILLMAN, MI 49746-9532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704354629
MI
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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