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Tina Mckellery
NPI 1063869865 · on the registry since 2016 · sole proprietor
Practice
- Address
- 19932 Blackstone St
Detroit, MI 48219 - Phone
- (313) 538-5170
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan