Individual
KELLY SARAH ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 S CANTON CENTER RD STE 200, CANTON, MI 48188
(734) 398-5229
(734) 398-5228
Mailing address
1600 S CANTON CENTER RD STE 200, CANTON, MI 48188-6276
(734) 398-5229
(734) 398-5228
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704296758
MI
Other
Enumeration date
11/16/2016
Last updated
08/16/2023
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