Individual
KELLI MARIE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17616 PENNINGTON DR, DETROIT, MI 48221
(313) 829-3053
Mailing address
17616 PENNINGTON DR, DETROIT, MI 48221
(313) 829-3053
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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