Jacob Perry Kellner, DO
Student in an Organized Health Care Education/Training Program in Clinton Township, MI. Individual provider (NPI-1).
NPI number1245033539
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1245033539
- Entity type
- Individual (NPI-1)
- Name
- Jacob Perry Kellner
- Credential
- DO
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MI | Yes |
Practice location
15855 19 Mile RdClinton Township, MI 48038-3504
Phone 586-263-2300
Mailing address
15855 19 Mile RdClinton Township, MI 48038-3504
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All 117 Student in an Organized Health Care Education/Training Program providers in Clinton Township · All 3,035 providers in Clinton Township
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