Individual
KELLY LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
39090 GARFIELD RD STE 102, CLINTON TOWNSHIP, MI 48038-4093
(248) 262-1291
Mailing address
2667 WERNER RD, COLUMBUS, MI 48063-4318
(313) 570-7660
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704236012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704236012
NURSING LICENSE
MI
Enumeration date
12/15/2017
Last updated
12/15/2017
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