Individual
KELLY JEAN SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 993-2966
Mailing address
28891 OAK POINT DR, FARMINGTON HILLS, MI 48331-2711
(248) 798-9347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273395
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704273395
MI
Other
Enumeration date
02/02/2015
Last updated
02/08/2023
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