Individual
MRS. KELLY ANN CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2000 GREEN RD STE 300, ANN ARBOR, MI 48105-1575
(734) 686-6359
Mailing address
11667 BROWNELL AVE, PLYMOUTH, MI 48170-4408
(717) 364-5090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301106613
MI
207P00000X
Emergency Medicine Physician
MT 198012
PA
Other
Enumeration date
06/16/2010
Last updated
08/25/2015
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