person
Destiny Kellam, MD
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1033853650

Destiny Kellam is a Student in an Organized Health Care Education/Training Program based in Inkster, MI. Destiny Kellam practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Destiny Kellam is 1033853650 and holds a License No. (Michigan).

The current practice location address for Destiny Kellam is 6071 W Outer Dr, Detroit, MI and can be reached out via phone at 313-966-3300.

Location: 6071 W Outer Dr, Detroit, MI, 48141-1933
person
Provider Profile Details
NPI Number
1033853650
Provider Name
Destiny Kellam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6071 W Outer Dr, Detroit, MI, 48141-1933
Phone Number
313-966-3300
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6071 W Outer Dr
City
State
Zip
48235-2624
Phone Number
313-966-3300
Fax Number
person
Provider Business Mailing Address Details
Address
6071 W Outer Dr
City
State
Zip
48235-2624
Phone Number
313-966-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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