Individual
KELLY BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 S SAGINAW RD, MIDLAND, MI 48640-5633
(989) 835-4041
(989) 835-8121
Mailing address
1861 9TH ST, BAY CITY, MI 48708-6741
(616) 914-0407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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