| Shijuan Kelly | |
|
1476 W Sherman Blvd Muskegon MI 49441-3541 | |
| (616) 537-2401 | |
| Not Available |
| Full Name | Shijuan Kelly |
|---|---|
| Speciality | Social Worker |
| Location | 1476 W Sherman Blvd, Muskegon, Michigan |
| Authorized Official Name and Position | Shijuan Kelly (OWNER) |
| Authorized Official Contact | 2313438458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shijuan Kelly 1476 W Sherman Blvd Muskegon MI 49441-3541 Ph: (231) 343-8458 | Shijuan Kelly 1476 W Sherman Blvd Muskegon MI 49441-3541 Ph: (616) 537-2401 |
| NPI Number | 1649739178 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649739178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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