Individual
MS. MICHAL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC., MSTOM
Contact information
Practice address
12272 N FENTON RD, SUITE 3, FENTON, MI 48430-9614
(810) 714-5556
(810) 714-5455
Mailing address
12272 N FENTON RD, SUITE 3, FENTON, MI 48430-9614
(810) 714-5556
(810) 714-5455
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000838
IL
Other
Enumeration date
06/09/2011
Last updated
11/04/2011
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