Beaudoin, Kelli

Beaudoin, Kelli is an individual health care provider with primary practice located at 18100 Oakwood Blvd Suite 300, Dearborn MI 48124-4085. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Beaudoin, Kelli can be contacted via phone (313) 429-7977.

Contact Information

Primary practice address
18100 Oakwood Blvd Suite 300 Dearborn MI 48124-4085
Phone: (313) 429-7977
Fax: (313) 429-7981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003485 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601003485 Michigan

Profile Details

NPI number 1891725495
LBN Legal business name Beaudoin, Kelli
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 5th, 2017 - about 8 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.

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