Individual
SONYA A KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1040 S WINTER ST, ADRIAN, MI 49221-3876
(517) 263-8905
Mailing address
1040 S WINTER ST, ADRIAN, MI 49221-3876
(517) 263-8905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126341
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383400932
—
MI
Enumeration date
03/01/2023
Last updated
03/01/2023
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