Dennis G Kelly Do Pc

LBN: Dennis G Kelly Do Pc
Dennis G Kelly Do Pc is an health care organization with primary practice located at 1431 E 12 Mile Rd Bldg C, Madison Heights MI 48071-2653. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Dennis G Kelly Do Pc can be contacted via phone (248) 398-4614, or through Sharp, Christa J via phone (248) 398-4614.

Contact Information

Primary practice address
1431 E 12 Mile Rd Bldg C Madison Heights MI 48071-2653
Phone: (248) 398-4614
Fax: (248) 398-4345
Website:
Map and Directions
Authorized official contact:
Name: Sharp, Christa J
Phone: (248) 398-4614

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X DK008799 Michigan

Profile Details

NPI number 1740543222
LBN Legal business name Dennis G Kelly Do Pc
DBA Doing business as
Authorized official Sharp, Christa J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740543222 NPPES
Michigan MEDICAID 2727880 TYPE 11

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