Kelly Richelle Shafer, LPN
NPI #1174231757 in Centreville, Michigan
Provider Information
- NPI Number
- 1174231757
- Entity Type
- Individual
- Name
- Kelly Richelle Shafer, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 11, 2022
- Last Updated
- Nov 11, 2022
Practice Location
- Address
- 677 E MAIN ST
- City
- Centreville
- State
- Michigan
- ZIP Code
- 49032-8524
- Phone
- (269) 467-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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