Individual
MRS. KELLY NICOLE CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7581 SECOR RD, LAMBERTVILLE, MI 48144-9624
(734) 856-6306
Mailing address
7581 SECOR RD, LAMBERTVILLE, MI 48144-9624
(734) 856-6306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.14762
OH
Other
Enumeration date
10/16/2013
Last updated
10/11/2024
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