Search › Michigan › 183500000X
Kelly Thiede, RPH
NPI 1255682746 · on the registry since 2012
Practice
- Address
- 6330 S Westnedge Ave
Portage, MI 49002 - Phone
- (269) 327-4508
- Fax
- (269) 327-6740
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-25
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