Moore, Kelli

Moore, Kelli is an sole proprietor health care provider with primary practice located at 32270 Telegraph Rd Ste 110 , Bingham Farms MI 48025-2456. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moore, Kelli can be contacted via phone (248) 792-9496.

Contact Information

Primary practice address
32270 Telegraph Rd Ste 110 Bingham Farms MI 48025-2456
Phone: (248) 792-9496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601009656 Michigan

Profile Details

NPI number 1699243204
LBN Legal business name Moore, Kelli
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2018
Last updated Aug 16th, 2020 - about 4 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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