institution
Dennis G Kelly Do Pc
Medical Specialty Clinic/Center in Madison Heights, Michigan
NPI 1740543222

Dennis G Kelly Do Pc is a Medical Specialty Clinic/Center based in Madison Heights, MI and is specialized in Medical Specialty. Dennis G Kelly Do Pc practices in Madison Heights, MI. The NPI Number for Dennis G Kelly Do Pc is 1740543222 and holds a License No. DK008799 (Michigan).

The current practice location address for Dennis G Kelly Do Pc is 1431 E 12 Mile Rd, Madison Heights, MI and can be reached out via phone at 248-398-4614 and via fax at 248-398-4345.

Location: 1431 E 12 Mile Rd, Madison Heights, MI, 48071-2653
institution
Provider Profile Details
NPI Number
1740543222
Provider Name
Dennis G Kelly Do Pc
Credential
Provider Entity Type
Organization
Address
1431 E 12 Mile Rd, Madison Heights, MI, 48071-2653
Phone Number
248-398-4614
Fax Number
248-398-4345
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2727880 TYPE 11 05 MI
institution
Provider Business Practice Location Address Details
Address
1431 E 12 Mile Rd
City
State
Zip
48071-2653
Phone Number
248-398-4614
Fax Number
248-398-4345
person
Provider Business Mailing Address Details
Address
1431 E 12 Mile Rd
City
State
Zip
48071-2653
Phone Number
248-398-4614
Fax Number
248-398-4345
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
DK008799 (Michigan)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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