person
Serena Leigh Kelley
Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan
NPI 1710494042

Serena Leigh Kelley is a Student in an Organized Health Care Education/Training Program based in Grand Rapids, MI. Serena Leigh Kelley practices in Grand Rapids, MI. The NPI Number for Serena Leigh Kelley is 1710494042 and holds a License No. 5302043816 (Michigan).

The current practice location address for Serena Leigh Kelley is 107 Diamond Ave Se Apt 1, Grand Rapids, MI and can be reached out via phone at 812-603-2309.

Location: 107 Diamond Ave Se Apt 1, Grand Rapids, MI, 49506-1407
person
Provider Profile Details
NPI Number
1710494042
Provider Name
Serena Leigh Kelley
Credential
Provider Entity Type
Individual
Gender
Female
Address
107 Diamond Ave Se Apt 1, Grand Rapids, MI, 49506-1407
Phone Number
812-603-2309
Fax Number
Provider Enumeration Date
01/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
107 Diamond Ave Se Apt 1
City
State
Zip
49506-1407
Phone Number
812-603-2309
Fax Number
person
Provider Business Mailing Address Details
Address
107 Diamond Ave Se Apt 1
City
State
Zip
49506-1407
Phone Number
812-603-2309
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.
5302043816 (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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