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Individual

FAITH YUNG MIN KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
148 W PARKDALE AVE, MANISTEE, MI 49660-1128
(231) 398-2258
Mailing address
9802 W 16 RD, MESICK, MI 49668-9782
(231) 920-6616

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704288216
MI
390200000X
Student in an Organized Health Care Education/Training Program
4704288216
MI

Other

Enumeration date
11/24/2020
Last updated
09/27/2022
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