Kelley, Audrey Ann

Kelley, Audrey Ann is an sole proprietor health care provider with primary practice located at 22401 Lyndon St , Detroit MI 48223-1856. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Kelley, Audrey Ann can be contacted via phone (131) 364-1805.

Contact Information

Primary practice address
22401 Lyndon St Detroit MI 48223-1856
Phone: (131) 364-1805
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Michigan
Nursing Service Related Providers / Nurse's Aide 376K00000X 236666620390 Michigan

Profile Details

NPI number 1144585472
LBN Legal business name Kelley, Audrey Ann
Credentials ADMINISTRATOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2012
Last updated Jun 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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