Individual
KELSEY TERESE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(800) 248-6777
Mailing address
3660 RESORT PIKE RD, PETOSKEY, MI 49770-9228
(989) 339-4688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007499
MI
Other
Enumeration date
09/10/2015
Last updated
11/01/2016
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