MARY KELLY NPI 1427757608

NPI Information

NPI: 1427757608
Provider Name: MARY KELLY
Classification: Technician, Pathology - 246RP1900X
Entity Type: Individual

Specialization: Phlebotomy

Address:
28311 FRANKLIN RD APT C339
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 632-9211
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Mary Kelly is a phlebotomy technician pathology in Southfield, MI. Mary Kelly NPI is 1427757608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28311 FRANKLIN RD APT C339
SOUTHFIELD, MI
ZIP 48034-556
Phone: (248) 632-9211

The enumeration date for this NPI number is 2/27/2023 and was last updated on 2/27/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246RP1900X	Technician, Pathology	Phlebotomy	268759	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H60218395	OTHER	MICHIGAN	HUMANA
2	H60218395	OTHER		HUMANA

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: 5/5/2024

NPI Synchronization or Removal

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