Individual
KELLI RAE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3640
(231) 383-5206
Mailing address
844 INDIAN TRAIL BLVD, TRAVERSE CITY, MI 49686-3640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704346355
MI
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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