Kelly, Maureen A

Kelly, Maureen A is an individual health care provider with primary practice located at 43205 Woodward Ave , Bloomfield Hills MI 48302-5006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kelly, Maureen A can be contacted via phone (248) 451-0600.

Contact Information

Primary practice address
43205 Woodward Ave Bloomfield Hills MI 48302-5006
Phone: (248) 451-0600
Fax: (248) 451-0700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301056543 Michigan

Profile Details

NPI number 1609874064
LBN Legal business name Kelly, Maureen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Apr 29th, 2009 - about 15 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 1609874064 NPPES
Michigan MEDICAID 4183802

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