Ubokudom, Kellya Annisa
Ubokudom, Kellya Annisa is an individual health care provider with primary practice located at 1500 E Medical Center Dr , Ann Arbor MI 48109-5000. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Ubokudom, Kellya Annisa can be contacted via phone (734) 936-4000.Contact Information
Primary practice address
1500 E Medical Center Dr
Ann Arbor MI 48109-5000
Phone: (734) 936-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34013380 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101021815 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 5101021815 | Michigan |
Profile Details
| NPI number | 1104213164 |
|---|---|
| LBN Legal business name | Ubokudom, Kellya Annisa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2015 |
| Last updated | Nov 7th, 2022 - about 2 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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