KELLY FAMILY MEDICAL CENTER P.C. NPI 1669799318

NPI Information

NPI: 1669799318
Provider Name: KELLY FAMILY MEDICAL CENTER P.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
21331 KELLY RD STE 120
EASTPOINTE, MI
ZIP 48021
Phone: (586) 585-9119
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KELLY FAMILY MEDICAL CENTER P.C. is a primary care clinic center in Eastpointe, MI. KELLY FAMILY MEDICAL CENTER P.C. NPI is 1669799318. The provider is registered as an organization entity type.

The provider's business location address is:

21331 KELLY RD STE 120
EASTPOINTE, MI
ZIP 48021-265
Phone: (586) 585-9119
Fax: (586) 585-9947

The provider's authorized official is Alphonse A Ekole .
The authorized official title is President and has the following contact phone number (586) 585-9119.

The enumeration date for this NPI number is 4/20/2010 and was last updated on 10/19/2011.

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	261QP2300X	Clinic/Center	Primary Care	4301080987	MICHIGAN	Yes

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

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