Individual
DR. KELLIE PATRICIA KORNMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8852
Mailing address
15212 MICHIGAN AVE, DEARBORN, MI 48126-3497
(313) 582-8852
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000476
MI
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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