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Ms. Kelli Renee Roe, PA-C
Surgical Physician Assistant in Kalamazoo, Michigan
NPI 1225318751

Kelli Renee Roe is a Surgical Physician Assistant based in Kalamazoo, MI and is specialized in Surgical. Kelli Renee Roe practices in Kalamazoo, MI and has the professional credentials of PA-C. The NPI Number for Kelli Renee Roe is 1225318751 and holds a License No. 5601006123 (Michigan).

The current practice location address for Kelli Renee Roe is 1634 Gull Rd, Kalamazoo, MI and can be reached out via phone at 269-903-2835.

Location: 1634 Gull Rd, Kalamazoo, MI, 49048-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225318751
Provider Name
Kelli Renee Roe
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1634 Gull Rd, Kalamazoo, MI, 49048-1632
Phone Number
269-903-2835
Fax Number
Provider Enumeration Date
08/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225318751 05 MI
1417961137 01 MI BCBSM - BMH
institution
Provider Business Practice Location Address Details
Address
1634 Gull Rd
City
Kalamazoo
State
Michigan
Zip
49048-1632
Phone Number
269-903-2835
Fax Number
person
Provider Business Mailing Address Details
Address
1634 Gull Rd
City
Kalamazoo
State
Michigan
Zip
49048-1632
Phone Number
269-903-2835
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5601006123 (Michigan)
Definition
Definition to come...
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