Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 4704264482 | MI |
NPI | 1003150392 |
---|---|
Provider Name | Kelly L Hope |
First Address | Royal Oak, MI 48073-0990 |
Second Address | Royal Oak, MI 48073-0990 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2012 |
Last Update Date | 04/02/2021 |