Individual
KELLY JO THUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 BEECH ST STE 2240, CLARE, MI 48617-1400
(989) 839-3902
Mailing address
690 N SHEARER RD, GLADWIN, MI 48624-9664
(989) 324-7824
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
4704230271
MI
363L00000X
Nurse Practitioner
Primary
4704230271
MI
Other
Enumeration date
05/02/2022
Last updated
03/29/2023
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