Individual
KAELYN JEAN CHAMBLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22101 MOROSS RD STE 212, DETROIT, MI 48236-2148
(313) 343-4921
(313) 343-7091
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704293514
MI
Other
Enumeration date
09/12/2021
Last updated
09/05/2024
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