Individual
RACHAEL KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19020 FORT ST, RIVERVIEW, MI 48193-6701
(734) 362-5100
(734) 362-5155
Mailing address
19020 FORT ST, RIVERVIEW, MI 48193-6701
(734) 362-5143
(734) 362-5155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279959
MI
Other
Enumeration date
08/22/2014
Last updated
05/04/2017
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