Individual
MISS KATELYNN ADELLA O'KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-4800
Mailing address
1360 PINECREST DR, FERNDALE, MI 48220-1608
(906) 361-6655
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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