Individual
KELLY A FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6401 PRAIRIE ST, SUITE 2600, NORTON SHORES, MI 49444-7840
(231) 727-7900
(231) 727-7914
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-4444
(231) 728-4789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5106020666
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101020666
MI
Other
Enumeration date
06/07/2013
Last updated
07/13/2016
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