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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLIE R WILSON, LPN

Active Sole Proprietor

KELLIE R WILSON, LPN is a Licensed Practical Nurse healthcare provider located in MANISTEE, Michigan. NPI 1013370634 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MANISTEE, MI

Registration Details

NPI Number
1013370634
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2016 (10.37873781684 yrs)
Last Updated
Mar 31, 2016
License
4703108511 (MI)
Sole Proprietor
Yes

Practice Information

Address
385 7TH ST
MANISTEE, MI, 496601966
Browse MI providers · Browse ZIP 49660
Phone
2312332565
Fax
2317236335
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in MANISTEE, MI

Name Credential NPI
JESSICA KATHERINE CHUBB 1598160079
BARBARA SELL 1942687405
MICHAEL KEITH 1396560165
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.