Search › Michigan › 373H00000X
Shannon Kelley
NPI 1639537913 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3111 Grand River Ave
Detroit, MI 48208 - Phone
- (313) 557-8669
- Organisation at this address
- Goodwill Industries Of Greater Detroit
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 373H00000X
373H00000X
- Also registered as
- 251B00000X
- Sex
- Female
- Record last updated
- 2025-02-13
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