Individual
DR. STEPHANIE JOSEPHINE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3302 CROOKS RD, ROYAL OAK, MI 48073-2446
(248) 629-6071
(248) 629-6073
Mailing address
39680 W 14 MILE RD, WALLED LAKE, MI 48390-3909
(248) 960-8828
(248) 960-8829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.011438
IL
111N00000X
Chiropractor
Primary
2301010312
MI
Other
Enumeration date
10/02/2009
Last updated
03/17/2018
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