Individual
MRS. KELLIE RENEE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLLP
Contact information
Practice address
5380 HOLIDAY TERRACE, SUITE 32, KALAMAZOO, MI 49009
(269) 459-1512
(269) 459-1514
Mailing address
5380 HOLIDAY TERRACE, SUITE 32, KALAMAZOO, MI 49009
(269) 459-1512
(269) 459-1514
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014983
MI
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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