Roe, Kelli Renee

Roe, Kelli Renee is an individual health care provider with primary practice located at 1634 Gull Rd , Kalamazoo MI 49048-1632. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Roe, Kelli Renee can be contacted via phone (269) 903-2835.

Contact Information

Primary practice address
1634 Gull Rd Kalamazoo MI 49048-1632
Phone: (269) 903-2835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601006123 Michigan

Profile Details

NPI number 1225318751
LBN Legal business name Roe, Kelli Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2011
Last updated Mar 2nd, 2016 - 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 1225318751 NPPES
Michigan MEDICAID 1225318751
Michigan Other 1417961137

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