Individual
MR. IAN THOMAS KELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
3905 WINCHELL AVE, APT 108, KALAMAZOO, MI 49008-2039
(630) 930-0309
Mailing address
3905 WINCHELL AVE, APT 108, KALAMAZOO, MI 49008-2039
(630) 930-0309
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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