Individual
AMANDA LYNN KELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
21647 RYAN ROAD, WARREN, MI 48091
(586) 757-4200
Mailing address
21647 RYAN RD, WARREN, MI 48091-2795
(586) 757-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704269265
MI
Other
Enumeration date
05/02/2016
Last updated
02/09/2017
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