Individual
KELLY WELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT HEALTH CARE
Contact information
Practice address
43313 WOODWARD AVE # 1323, BLOOMFIELD HILLS, MI 48302-5007
(586) 747-3631
Mailing address
43313 WOODWARD AVE # 1323, BLOOMFIELD HILLS, MI 48302-5007
(586) 747-3631
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
03/06/2025
Last updated
10/08/2025
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