Mcclean, Kelly L

Mcclean, Kelly L is an individual health care provider with primary practice located at 7300 Dexter-Ann Arbor Rd Suite 110, Dexter MI 48130-8598. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mcclean, Kelly L can be contacted via phone (734) 426-2796.

Contact Information

Primary practice address
7300 Dexter-Ann Arbor Rd Suite 110 Dexter MI 48130-8598
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301073167 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301073167 Michigan

Profile Details

NPI number 1326129503
LBN Legal business name Mcclean, Kelly L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 5th, 2015 - about 9 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 1326129503 NPPES
Michigan MEDICAID 3502982

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