Individual
KELLEY THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 DAYTON ST, MIDDLEVILLE, MI 49333-9462
(269) 838-3168
Mailing address
206 DAYTON ST, MIDDLEVILLE, MI 49333-9462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704318763
MI
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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