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Individual

KERRY LYNN TABBEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A., M.S.

Contact information

Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
(734) 712-5526
Mailing address
12065 FOX RIDGE DR, PLYMOUTH, MI 48170-2878
(734) 416-1740

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704150035
MI

Other

Enumeration date
05/05/2006
Last updated
07/08/2007
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