Kelly, Adrienne Margaret
Kelly, Adrienne Margaret is an individual health care provider with primary practice located at 2147 Professional Dr , Gaylord MI 49735-0003. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is her primary health care specialty. Kelly, Adrienne Margaret can be contacted via phone (989) 732-1753.Contact Information
Primary practice address
2147 Professional Dr
Gaylord MI 49735-0003
Phone: (989) 732-1753
Fax: (989) 731-1425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 4301101907 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 4301101907 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Trauma | 207XX0801X | 4301101907 | Michigan |
Profile Details
| NPI number | 1205189669 |
|---|---|
| LBN Legal business name | Kelly, Adrienne Margaret |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2012 |
| Last updated | Dec 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205189669 | NPPES |
| Other | OF96004 | MEDICARE GROUP NUMBER |
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