Individual
KATELYN KHEMMORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2926 MONTGOMERY CIR, WALLED LAKE, MI 48390-3605
(248) 762-3297
Mailing address
2926 MONTGOMERY CIR, WALLED LAKE, MI 48390-3605
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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