Individual
MISS KELSEY ELISE ADKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1965 BALDWIN ST, JENISON, MI 49428-8915
(616) 457-9630
Mailing address
569 DOUGLAS FIR DR NE, SPARTA, MI 49345-8272
(616) 205-6860
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5302044598
MI
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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