Individual
MRS. AMANDA PUTRUS KEJBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15606 SOUTHFIELD RD, ALLEN PARK, MI 48101-2513
(313) 771-5274
(313) 771-5256
Mailing address
37000 GRAND RIVER AVE STE 310, FARMINGTON HILLS, MI 48335-2868
(248) 536-2127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008688
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/13/2018
Last updated
02/13/2025
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