Individual
KELLY WALKUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 N MAIN ST APT 2, QUINCY, MI 49082-1183
(517) 317-0094
Mailing address
528 W CHICAGO ST, COLDWATER, MI 49036-8411
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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