Individual
ELIZABETH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 W MAUMEE ST, ADRIAN, MI 49221-1901
(517) 266-8880
Mailing address
805 W MAUMEE ST, ADRIAN, MI 49221-1901
(517) 266-8880
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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