Individual
LYNDSEY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4568 W WALTON BLVD STE D, WATERFORD, MI 48329-4900
(855) 466-3631
(833) 973-4493
Mailing address
4568 W WALTON BLVD STE D, WATERFORD, MI 48329-4900
(855) 466-3631
(833) 973-4493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704356731
MI
Other
Enumeration date
09/15/2025
Last updated
01/20/2026
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