Poletis, Kelly Marie

Poletis, Kelly Marie is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Twp MI 48038. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Poletis, Kelly Marie can be contacted via phone (586) 263-2113.

Contact Information

Primary practice address
15855 19 Mile Rd Clinton Twp MI 48038
Phone: (586) 263-2113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085004402 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007695 Michigan

Profile Details

NPI number 1528317153
LBN Legal business name Poletis, Kelly Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Sep 4th, 2018 - about 7 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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