Individual
MRS. KELLIE LYNN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14960 E PARK ST, CAPAC, MI 48014-3177
(810) 395-4343
Mailing address
240 WADHAMS RD, KIMBALL, MI 48074-4311
(810) 966-3379
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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