Individual
KELLI TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9605 GRAND RIVER AVE, DETROIT, MI 48204-2139
(313) 834-5930
Mailing address
12740 GRAYFIELD ST, DETROIT, MI 48223-3071
(313) 729-1827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084013
MI
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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