SearchMichigan2255A2300X

Kelsey Penebaker

NPI 1992119085 · on the registry since 2014

Practice

Address
2992 Birch Hollow Dr Apt 1b
Ann Arbor, MI 48108
Phone
(414) 975-4436

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-06-17

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