Individual
TARA L KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1513 S MAIN ST, CHELSEA, MI 48118-1434
(734) 475-9175
(734) 475-0120
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 327-0872
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301089323
MI
Other
Enumeration date
04/20/2006
Last updated
02/12/2015
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