Individual
KELLEY KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6980
(248) 355-1402
Mailing address
390 W MADGE AVE, HAZEL PARK, MI 48030-2043
(313) 506-7888
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704406880
MI
Other
Enumeration date
08/15/2023
Last updated
10/25/2023
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