KELLY ANN POWLISHEN

DETROIT, MI
NPI1992484422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011765)
Additional Taxonomies363AM0700X Physician Assistant, Medical
363AS0400X Physician Assistant, Surgical
(Licence: MI  5601011765)
Enumeration Date2023-07-12
Last Update Date2024-12-23
Business Address
KELLY ANN POWLISHEN PA-C
311 MACK AVE FL 5
DETROIT, MI 48201-2466
Phone number: 313-832-0500
Mailing Address
KELLY ANN POWLISHEN PA-C
311 MACK AVE FL 5
DETROIT, MI 48201-2466
Phone number: 313-832-0500