Individual
KATHRYN A KELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2636 S MILFORD RD, HIGHLAND, MI 48357-4938
(248) 684-9610
Mailing address
4410 FLEMING WAY, PLYMOUTH, MI 48170-6445
(734) 354-1996
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501002332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
TAXONOMY
MI
Enumeration date
05/09/2007
Last updated
07/08/2007
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