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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700884814 | NPPES |
| Michigan | MEDICAID | 104183802 | |
| Michigan | Other | 1015775 | |
| Michigan | Other | 350F302120 | |
| Michigan | MEDICAID | 1700884814 | |
| Michigan | Other | 350F302120 |
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