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1386976637
KIMBERLY D KELLER
SOUTHGATE, MI
NPI
1386976637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004611)
Enumeration Date
2010-02-10
Last Update Date
2010-02-10
Business Address
-- KIMBERLY D KELLER PA-C
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195-3531
Phone number: 734-282-5502
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Mailing Address
-- KIMBERLY D KELLER PA-C
12100 DIX TOLEDO RD
SOUTHGATE, MI 48195-3531
Phone number: 734-282-5502
Copy
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