Pseres, Kelly Maureen

Pseres, Kelly Maureen is an individual health care provider with primary practice located at 26025 Lahser Rd 2Nd Floor, Southfield MI 48033-2606. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Pseres, Kelly Maureen can be contacted via phone (248) 663-1905.

Contact Information

Primary practice address
26025 Lahser Rd 2Nd Floor Southfield MI 48033-2606
Phone: (248) 663-1905
Fax: (248) 663-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 4704217337 Michigan

Profile Details

NPI number 1679883201
LBN Legal business name Pseres, Kelly Maureen
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2010
Last updated Feb 18th, 2014 - about 10 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 1679883201 NPPES
Michigan Other 4704217337 NP LICENSE

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