Kelley Park
Kelley Park is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
Detroit, MINo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1265067318 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 10, 2020 |
| Last updated in NPPES | March 10, 2020 |
| Certification date | March 10, 2020 |
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