Individual
KELLY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19611 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 541-9550
Mailing address
19611 E 8 MILE RD, SAINT CLAIR SHORES, MI 48080-1655
(586) 541-9550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703120562
MI
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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