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Dr. Kelly Jeane Haidar, DO
Student in an Organized Health Care Education/Training Program in Canton, Michigan
NPI 1508557968

Kelly Jeane Haidar is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Kelly Jeane Haidar practices in Canton, MI and has the professional credentials of DO. The NPI Number for Kelly Jeane Haidar is 1508557968 and holds a License No. 5151016046 (Michigan).

The current practice location address for Kelly Jeane Haidar is 1051 N Canton Center Rd, Canton, MI and can be reached out via phone at 734-539-5080.

Location: 1051 N Canton Center Rd, Canton, MI, 48109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508557968
Provider Name
Kelly Jeane Haidar
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1051 N Canton Center Rd, Canton, MI, 48109
Phone Number
734-539-5080
Fax Number
Provider Enumeration Date
05/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1051 N Canton Center Rd
City
Canton
State
Michigan
Zip
48187-5097
Phone Number
734-539-5080
Fax Number
person
Provider Business Mailing Address Details
Address
1051 N Canton Center Rd
City
Canton
State
Michigan
Zip
48187-5097
Phone Number
734-539-5080
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5151016046 (Michigan)
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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