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Contact Information

KEELY M BLOSH, NP
416 CONNABLE AVE
PETOSKEY, MI49770-2212
 Phone: 231-487-4000
 Fax: 231-547-3424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KEELY M BLOSH · (Female)

NPI # 1013438530
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/06/2017
Last updated 06/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704310535
Hospital affiliation(s)
  • MCLAREN-NORTHERN MICHIGAN - (Acute Care)
    416 CONNABLE AVE
    PETOSKEY, MI 49770
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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