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Individual

MS. BARBARA KINGSLEY SHANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(833) 578-2763
(989) 422-4490
Mailing address
419 ROBERTS DR, JONESVILLE, MI 49250-9412
(734) 250-4206
(989) 422-4490

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005274
MI

Other

Enumeration date
06/15/2008
Last updated
08/14/2026
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