Individual
KATHERINE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 CHRYSLER DR STE 5A, DETROIT, MI 48201-2167
(313) 577-7523
Mailing address
8982 BECKER AVE, ALLEN PARK, MI 48101-1519
(313) 539-6747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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