Individual
KELLY LYNN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4802 S. 9TH STREET, KALAMAZOO, MI 49009
(269) 360-8510
Mailing address
7877 WILLOW CHASE BLVD, HOUSTON, TX 77070-5934
(832) 869-4818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704309065
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704309065
MI
Other
Enumeration date
01/23/2025
Last updated
03/19/2025
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