Individual
KELLY KRETSCHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 953-4573
Mailing address
2507 WOODLAND AVE, ROYAL OAK, MI 48073-3035
(248) 953-4573
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704314258
MI
363L00000X
Nurse Practitioner
Primary
4704314258
MI
Other
Enumeration date
02/02/2024
Last updated
01/14/2025
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