Individual
KELSEY FOBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2063 SECRETARIAT LN, SAINT JOHNS, MI 48879-8034
(517) 282-1295
Mailing address
2063 SECRETARIAT LN, SAINT JOHNS, MI 48879-8034
(517) 282-1295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704278919
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704278919
MI
Other
Enumeration date
07/09/2021
Last updated
09/09/2022
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