Individual
KADIATU KELLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1853 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
Mailing address
35 ONEIDA ST SW, GRAND RAPIDS, MI 49548-1143
(616) 635-1601
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704322733
MI
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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