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Individual

MRS. KIMBERLY ANN KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
515 N MICHIGAN AVE, SAGINAW, MI 48602-4316
(989) 583-2747
Mailing address
515 N MICHIGAN AVE, SAGINAW, MI 48602-4316
(989) 999-9999

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201005603
MI
225XG0600X
Gerontology Occupational Therapist
Primary
5201005603
MI

Other

Enumeration date
06/01/2011
Last updated
04/24/2018
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