Kelly Jewell
NPI #1174979801 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1174979801
- Entity Type
- Individual
- Name
- Kelly Jewell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- May 12, 2016
- Last Updated
- May 12, 2016
Practice Location
- Address
- 29329 HOWARD AVE
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-2503
- Phone
- (248) 632-6881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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