Individual
KAILEY MCGREGOR CHISOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 BEAUBIEN ST FL 4, DETROIT, MI 48201-2119
(313) 745-5538
(313) 933-0531
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009179
MI
Other
Enumeration date
04/23/2019
Last updated
06/20/2024
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