Individual
KELLIE R CROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, HWNC-BC
Contact information
Practice address
23600 MERCANTILE RD, BEACHWOOD, OH 44122-5932
(248) 309-1107
Mailing address
770 KETTERING AVE, PONTIAC, MI 48340-3248
(248) 309-1107
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704322468
MI
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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