Individual
KAREN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-8676
(734) 712-3855
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301090298
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301090298
MI
Other
Enumeration date
06/13/2007
Last updated
12/28/2016
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