Individual
KELLY MARIE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
789 N CLARE AVE, HARRISON, MI 48625-8250
(989) 539-2141
Mailing address
789 N CLARE AVE, HARRISON, MI 48625-8250
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704316276
MI
Other
Enumeration date
06/12/2017
Last updated
06/12/2017
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