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JOHN J KELLY MD PC NPI 1134301880


NPI Information

NPI: 1134301880
Provider Name: JOHN J KELLY MD PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3606 W LIBERTY RD
ANN ARBOR, MI
ZIP 48103
Phone: (734) 929-9451
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JOHN J KELLY MD PC is a general practice in Ann Arbor, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JOHN J KELLY MD PC NPI is 1134301880. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3606 W LIBERTY RD
ANN ARBOR, MI
ZIP 48103-049
Phone: (734) 929-9451

The provider's authorized official is John J Kelly .
The authorized official title is Physician and has the following contact phone number (517) 423-9300.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice4301057968MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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