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Kelly Elizabeth Wallace
Licensed Practical Nurse in Farmington Hills, Michigan
NPI 1588363584

Kelly Elizabeth Wallace is a Licensed Practical Nurse based in Farmington Hills, MI. Kelly Elizabeth Wallace practices in Farmington Hills, MI. The NPI Number for Kelly Elizabeth Wallace is 1588363584 and holds a License No. 4703123645 (Michigan).

The current practice location address for Kelly Elizabeth Wallace is 27777 Inkster Rd Ste 100, Farmington Hills, MI and can be reached out via phone at 248-299-0030.

Location: 27777 Inkster Rd Ste 100, Farmington Hills, MI, 48334-5312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588363584
Provider Name
Kelly Elizabeth Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
27777 Inkster Rd Ste 100, Farmington Hills, MI, 48334-5312
Phone Number
248-299-0030
Fax Number
Provider Enumeration Date
02/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27777 Inkster Rd Ste 100
City
Farmington Hills
State
Michigan
Zip
48334-5312
Phone Number
248-299-0030
Fax Number
person
Provider Business Mailing Address Details
Address
27777 Inkster Rd Ste 100
City
Farmington Hills
State
Michigan
Zip
48334-5312
Phone Number
248-299-0030
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703123645 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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