Basic Information
| Provider Information | |||||||||
| NPI: | 1326695214 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROWLEY | ||||||||
| FirstName: | KELLI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1031 SUNCREST DR | ||||||||
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| City: | LAPEER | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484461136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8106644870 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1132 N MONROE ST | ||||||||
| Address2: | |||||||||
| City: | LAPEER | ||||||||
| State: | MI | ||||||||
| PostalCode: | 484461416 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8103588784 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2019 | ||||||||
| LastUpdateDate: | 04/27/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/27/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 4704321079 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.