Individual
NATALIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10410 ELMIRA ST, DETROIT, MI 48204-4607
(313) 282-7232
Mailing address
10410 ELMIRA ST, DETROIT, MI 48204-4607
(313) 282-7232
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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