Individual
ANNETTE LYN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6475
Mailing address
4017 SNEAKY LN, HOLT, MI 48842-7759
(989) 292-0390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704235537
MI
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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