Individual
MR. KELLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
18889 SAINT AUBIN ST, DETROIT, MI 48234-1220
(313) 244-1700
Mailing address
18889 SAINT AUBIN ST, DETROIT, MI 48234-1220
(313) 244-1700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704295197
MI
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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