Individual
KELLY COLLEEN CUSHING-DAMM
Active
Individual
KELLY COLLEEN CUSHING-DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301114466
MI
207RG0100X
Gastroenterology Physician
Primary
4301114466
MI
208D00000X
General Practice Physician
2013017117
MO
Other
Enumeration date
06/19/2010
Last updated
11/16/2023
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