NPI 1104067073
Kelly Lynn Scanlon, CNINTERNSTUDENT
Practice location
- Address
- 1344 Beaverbrook Dr, Holly, MI 48442-8628
- Phone
- (248) 634-3014
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1104067073
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Mar 2009
- Record last updated
- 23 Mar 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.