Individual
KELSEY BORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-1000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704309329
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
4704309329
MI
Other
Enumeration date
02/16/2021
Last updated
02/24/2023
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