License holder summary

KIMBERLY DIANE KELLER is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for KIMBERLY DIANE KELLER is Novi, MI 48374. This licensed professional license is not current. The license was granted 08/23/2005 and expired on 02/23/2007.

Michigan

Department of Licensing and Regulation

KIMBERLY DIANE KELLER
Physician's Assistant - Physician Assistant Temporary
License number
5601004611
Date granted
08/23/2005
Date expires
02/23/2007
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Novi, MI 48374
michiganlicensing.org
ID 25999160
LAST UPDATED 2026-04-12 13:05:24 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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