Individual
KELLY MARIE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3536 MERIDIAN CROSSINGS STE 220, OKEMOS, MI 48864-4583
(517) 347-3012
Mailing address
900 LONG BLVD APT 480, LANSING, MI 48911-6746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704326272
MI
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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