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Kelli Moore
Physician Assistant in Bingham Farms, Michigan
NPI 1699243204

Kelli Moore is a Physician Assistant based in Ypsilanti, MI. Kelli Moore practices in Bingham Farms, MI. The NPI Number for Kelli Moore is 1699243204 and holds a License No. (Michigan).

The current practice location address for Kelli Moore is 32270 Telegraph Rd Ste 110, Bingham Farms, MI and can be reached out via phone at 248-792-9496.

Location: 32270 Telegraph Rd Ste 110, Bingham Farms, MI, 48197-6650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699243204
Provider Name
Kelli Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
32270 Telegraph Rd Ste 110, Bingham Farms, MI, 48197-6650
Phone Number
248-792-9496
Fax Number
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
32270 Telegraph Rd Ste 110
City
Bingham Farms
State
Michigan
Zip
48025-2456
Phone Number
248-792-9496
Fax Number
person
Provider Business Mailing Address Details
Address
32270 Telegraph Rd Ste 110
City
Bingham Farms
State
Michigan
Zip
48025-2456
Phone Number
248-792-9496
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601009656 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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