Individual
KELLY MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17500 FEDERAL DR, STE 750, ALLEN PARK, MI 48101-3652
(313) 982-1370
Mailing address
21654 E RIVER RD, GROSSE ILE, MI 48138-1336
(906) 235-0263
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007623
MI
Other
Enumeration date
07/24/2012
Last updated
01/04/2016
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