Individual provider · Type 1 NPI

Caitlin Marie Kelly, AG-ACNP

Acute Care Nurse Practitioner · St. Clair Shores, MI

NPI number 1629581970 Active

Practice location

29001 Harper Ave
St. Clair Shores, MI 48081-2711

Fax (586) 778-0396

Mailing address

30025 Champine St
St. Clair Shores, MI 48082-1653

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704299955 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1629581970

Caitlin Marie Kelly, AG-ACNP's National Provider Identifier is 1629581970, issued on Nov 8, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 23, 2019.