Kennelly, Kelly

Kennelly, Kelly is an individual health care provider with primary practice located at 421 E. Canfield St. , Detroit MI 48201-0002. She recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as her primary health care specialty. Kennelly, Kelly can be contacted via phone (313) 577-8317.

Contact Information

Primary practice address
421 E. Canfield St. Detroit MI 48201-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1750654695
LBN Legal business name Kennelly, Kelly
Credentials CGC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2012
Last updated Feb 22nd, 2012 - about 14 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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