NPI Profile for KELLY A MANN in DETROIT, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X |
| NPI # | 1053454447 |
|
| Status | Active | |
| Credentials | MSN, FNP-BC, CDE | |
| Entity | Individual | |
| Enumeration date | 02/15/2007 | |
| Last updated | 09/27/2010 - About 16 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KELLY A MANN
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