Individual
KAYLEE JOY SELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4402
Mailing address
906 W M 28, DAFTER, MI 49724-9414
(989) 277-6229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704352812
MI
363LF0000X
Family Nurse Practitioner
2023189323
MI
363LF0000X
Family Nurse Practitioner
Primary
4704352812
MI
Other
Enumeration date
10/01/2024
Last updated
10/08/2024
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