Mcintosh, Kelly

Mcintosh, Kelly is an individual health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mcintosh, Kelly can be contacted via phone (248) 325-1000.

Contact Information

Primary practice address
6777 W Maple Rd West Bloomfield MI 48322-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004080 Michigan

Profile Details

NPI number 1023235520
LBN Legal business name Mcintosh, Kelly
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Feb 15th, 2021 - about 3 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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