Individual
KELSEY MARIE RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15200 GRATIOT AVE, DETROIT, MI 48205-1327
(313) 924-8495
Mailing address
159 KERCHEVAL AVE, GROSSE POINTE FARMS, MI 48236-3610
(313) 640-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
07/04/2025
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