Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KELLY RENET DALE, P.A.
ActiveMRS. KELLY RENET DALE, P.A. is a Medical Physician Assistant healthcare provider located in SANDUSKY, Michigan. NPI 1952468530 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SANDUSKY, MI
Registration Details
- NPI Number
- 1952468530
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 2, 2007 (19.610742916366 yrs)
- Last Updated
- Nov 19, 2024
- License
-
5601003127 (MI)
Practice Information
- Address
-
416 WOODLAND DRSANDUSKY, MI, 484711047Browse MI providers · Browse ZIP 48471
- Phone
- 8102026022
- Fax
- 8106824026
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.