Bloomfield Pediatric Care

LBN: Maureen A Kelly Md Pllc
Bloomfield Pediatric Care is an health care organization with primary practice located at 43205 Woodward Ave , Bloomfield Hills MI 48302-5006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Maureen A Kelly Md Pllc can be contacted via phone (248) 451-0600, or through Kelly, Maureen 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:
Map and Directions
Authorized official contact:
Name: Kelly, Maureen Doctor of Medicine (MD)
Phone: (248) 451-0600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301056543 Michigan

Profile Details

NPI number 1700884814
LBN Legal business name Maureen A Kelly Md Pllc
DBA Doing business as Bloomfield Pediatric Care
Authorized official Kelly, Maureen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Jun 24th, 2010 - about 14 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 1700884814 NPPES
Michigan MEDICAID 104183802
Michigan Other 1015775
Michigan Other 350F302120
Michigan MEDICAID 1700884814
Michigan Other 350F302120

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