Individual
MRS. MICHELE LEE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
214 FISHER ST, MARQUETTE, MI 49855-4717
(248) 408-1734
Mailing address
214 FISHER ST, MARQUETTE, MI 49855-4717
(248) 408-1734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704326351
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704326351
MI
Other
Enumeration date
08/30/2022
Last updated
08/28/2025
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