Individual
KELLY KALANQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
Mailing address
1450 S LAPEER RD, OXFORD, MI 48371-6108
(248) 969-9932
(248) 969-0840
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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