Individual
KAELA NICOLE CRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46706 CRYSTAL DOWNS W, NORTHVILLE, MI 48168-8456
(316) 218-2401
Mailing address
46706 CRYSTAL DOWNS W, NORTHVILLE, MI 48168-8456
(316) 218-2401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012686
MI
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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