Individual
MRS. KELLY LYNN BRIZENDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2845 CAPITAL AVE SW, SUITE 201, BATTLE CREEK, MI 49015-4185
(269) 969-6177
(269) 969-8776
Mailing address
2845 CAPITAL AVE SW, SUITE 201, BATTLE CREEK, MI 49015-4185
(269) 969-6177
(269) 969-8776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004377
MI
363AM0700X
Medical Physician Assistant
5601004377
MI
Other
Enumeration date
10/17/2006
Last updated
09/08/2023
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