Individual
KELLY WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29275 NORTHWESTERN HWY STE 200, SOUTHFIELD, MI 48034-5744
(248) 423-7000
(248) 423-7077
Mailing address
29275 NORTHWESTERN HWY STE 200, SOUTHFIELD, MI 48034-5744
(248) 423-7000
(248) 423-7077
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008329
MI
Other
Enumeration date
09/06/2017
Last updated
01/27/2022
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