Individual
KERRY A THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2110 16TH ST, STE. 4, BAY CITY, MI 48708-7609
(989) 891-9000
(989) 891-9876
Mailing address
3785 BAY RD, SAGINAW, MI 48603-2433
(989) 791-2455
(989) 791-1392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704199552
MI
Other
Enumeration date
02/21/2013
Last updated
03/09/2017
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