Gingras, Kelly J

Gingras, Kelly J is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gingras, Kelly J can be contacted via phone (313) 982-5440.

Contact Information

Primary practice address
18101 Oakwood Blvd Dearborn MI 48124-4089
Phone: (313) 982-5440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601005311 Michigan

Profile Details

NPI number 1972551935
LBN Legal business name Gingras, Kelly J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 7th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972551935 NPPES
Other 311098079 TAX ID #
Other PA25091 TAX ID #
Other 353077 TAX ID #

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