Individual provider · Type 1 NPI
Kelli Hackel
Addiction (Substance Use Disorder) Registered Nurse · Canton, MI
NPI number
1063147908
Active
Practice location
43825 Michigan Ave
Canton, MI 48188-2551
Mailing address
26100 W 12 Mile Rd Apt 233
Southfield, MI 48034-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 4704334763 (MI) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
133 other providers at this address
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About NPI 1063147908
Kelli Hackel's National Provider Identifier is 1063147908, issued on Jul 22, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Canton, MI. The record was last updated on Jul 22, 2022.