Individual
KELLEY MARIE KORONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3851 WEST RD, TRENTON, MI 48183-2351
(734) 675-5100
Mailing address
42606 REDFERN ST, CANTON, MI 48187-3454
(734) 730-0136
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704171137
MI
Other
Enumeration date
06/01/2006
Last updated
11/23/2007
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