Individual
KELLY MARIE STOVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
310 N MAIN ST, SUITE 301, CHELSEA, MI 48118-1555
(734) 222-8200
Mailing address
7025 NORBORNE AVE, DEARBORN HEIGHTS, MI 48127-2013
(313) 204-6889
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704235502
MI
Other
Enumeration date
01/06/2014
Last updated
02/24/2017
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