Individual
KITTI-KAYE BODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9795
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301098624
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
1659668184
MI
Other
Enumeration date
07/05/2011
Last updated
08/08/2017
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