Individual
KELCEY GOODWIN GUERRIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126
(800) 653-6568
Mailing address
14869 MCLAIN AVE, ALLEN PARK, MI 48101-1816
(313) 693-6076
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704277474
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704277474
MI
Other
Enumeration date
07/18/2018
Last updated
04/16/2025
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