Individual
KELSAY PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5315 ELLIOTT DRIVE, SUITE 304, YPSILANTI, MI 48197
(734) 712-0655
(734) 712-0611
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601008807
STATE LICENSE
MI
Enumeration date
09/06/2018
Last updated
02/15/2024
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