Individual
KELLIE LYNN KLAYKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
550 W WESTERN AVE, SUTIE B, MUSKEGON, MI 49440-1045
(231) 726-4498
(231) 726-4468
Mailing address
550 W WESTERN AVE, SUITE B, MUSKEGON, MI 49440-1045
(231) 726-4498
(231) 726-4468
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704309351
MI
Other
Enumeration date
10/22/2014
Last updated
05/04/2015
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