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Individual

KELLI LYNN ISRALSON-BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
13872 MEAD CREEK RD, BATH, MI 48808-8705

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704206068
MI
363LA2200X
Adult Health Nurse Practitioner
4704206068
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1235418138
MI
Enumeration date
08/09/2011
Last updated
02/17/2025
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