Individual
KELSEY C MALVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5173 JULIAN DR, TROY, MI 48085-6725
(248) 930-4141
Mailing address
5173 JULIAN DR, TROY, MI 48085-6725
(248) 930-4141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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