Individual
KELLY ANNE KEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL, ANN ARBOR, MI 48109-5048
(734) 936-4280
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704262007
MI
363L00000X
Nurse Practitioner
Primary
4704262007
MI
363LF0000X
Family Nurse Practitioner
4704262007
MI
363LF0000X
Family Nurse Practitioner
71007865A
IN
Other
Enumeration date
02/03/2012
Last updated
10/05/2023
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