Individual
KELLY EVERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1051 ARLENE AVE, PONTIAC, MI 48340-2904
(248) 451-7365
(248) 451-7370
Mailing address
46 N SAGINAW ST, OAKLAND PRIMARY HEALTH SERVICES, PONTIAC, MI 48342-2155
(248) 322-6747
(248) 322-5787
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704213499
MI
Other
Enumeration date
11/16/2006
Last updated
08/30/2011
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