Individual
MRS. CHARLOTTE M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 JOHN R RD, TROY, MI 48083-2512
(586) 268-4160
Mailing address
1709 JOHN R RD, TROY, MI 48083-2512
(586) 268-4160
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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