Most Relevant Information
Provider Data
| NPI Number: | 1003381062 |
| Provider Name: | KELLY A HAMMILL NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704177746 |
Most Important Dates
| Enumeration Date: | 10/05/2018 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
555 TOWNER ST
YPSILANTI
MI
481985723
Practice Location Phone/Fax
| Phone: | 7345443050 |
| Fax: | 7345446732 |
Provider Mailing Location
555 TOWNER ST
YPSILANTI
MI
481985723
Provider Mailing Phone/Fax
| Phone: | 7345443050 |
| Fax: | 7345446732 |