Individual
ANGELA KELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3535 W 13 MILE RD STE LL, ROYAL OAK, MI 48073-6770
(248) 551-3000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704233317
MI
Other
Enumeration date
05/01/2016
Last updated
01/06/2021
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