Doctor Name: | KELLY HOPE |
NPI Number: | 1003150392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, NP |
License Number: | 4704264482 |
Business Practice Address: | 29922 Montmorency Dr Novi, MI - 483772152 |
Business Phone Number: | 2489601531 |
Business Fax Number: | |
Mailing Address: | 29922 Montmorency Dr, NOVI |
State: | MI |
Postal Code: | 483772152 |
Phone Number: | 2489601531 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2012 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 4704264482 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |