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Individual

KATHLEEN ELLIOTT CARNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
882 OAKMAN BLVD, DETROIT, MI 48238-3710
(313) 961-7990
Mailing address
4138 2ND AVE, DETROIT, MI 48201-1704

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704148889
MI

Other

Enumeration date
04/16/2015
Last updated
04/16/2015
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