Individual
MS. KELSEY LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24 FRANK LLOYD WRIGHT DRIVE, DOMINO'S FARMS, LOBBY A, ANN ARBOR, MI 48105-9484
(734) 930-7400
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008179
MI
Other
Enumeration date
05/10/2017
Last updated
07/21/2022
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