SHANE THOMAS KELLY

ROYAL OAK, MI
NPI1215629753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704329144)
Enumeration Date2023-05-23
Last Update Date2026-04-23
Business Address
SHANE THOMAS KELLY
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
Mailing Address
SHANE THOMAS KELLY
3333 EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9493
Phone number: 616-364-4200
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