Search › Michigan › 164W00000X

Kelli Fugate

NPI 1023845120 · on the registry since 2024 · sole proprietor

Practice

Address
7755 Frederick St
Maybee, MI 48159
Phone
(734) 217-9694

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-14

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