Individual
DR. KELLY MICHELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
22712
WI
208600000X
Surgery Physician
2013011930
MO
Other
Enumeration date
04/02/2008
Last updated
10/21/2022
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