Individual
GLORIA ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
767 N KALAMAZOO AVE, MARSHALL, MI 49068-1072
(517) 795-7572
Mailing address
767 N KALAMAZOO AVE, MARSHALL, MI 49068-1072
(517) 795-7572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704273647
MI
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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