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1912728023
KELLY ANNE CARROLL
SOUTHFIELD, MI
NPI
1912728023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704305869)
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
KELLY ANNE CARROLL FNP
17330 NORTHLAND PARK CT
SOUTHFIELD, MI 48075-4318
Phone number: 248-552-9500
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Mailing Address
KELLY ANNE CARROLL FNP
2135 STONINGTON LN
ROCHESTER HILLS, MI 48306-3164
Phone number: 248-550-6646
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