Peck, Kellie Sue

Peck, Kellie Sue is an sole proprietor health care provider with primary practice located at 1200 E Michigan Ave Ste 145 , Lansing MI 48912-1897. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Peck, Kellie Sue can be contacted via phone (517) 364-5464.

Contact Information

Primary practice address
1200 E Michigan Ave Ste 145 Lansing MI 48912-1897
Phone: (517) 364-5464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 5501015694 Michigan

Profile Details

NPI number 1932600566
LBN Legal business name Peck, Kellie Sue
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers