Maureen A Kelly Md Pllc in Detroit - Adolescent Medicine
Maureen A Kelly Md Pllc - NPI 1700884814
Maureen A Kelly Md Pllc is a Adolescent Medicine in Detroit, Michigan. Maureen A Kelly Md Pllc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Maureen A Kelly Md Pllc is 1700884814. The last update date is 2010-06-24.
Maureen A Kelly Md Pllc's current location address is Po Box 44047, Detroit, Michigan. You can contact this provider via phone number 2484510600 and fax number 2484510700. The mailing address for Maureen A Kelly Md Pllc is Po Box 44047, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maureen A Kelly Md Pllc |
|---|---|
| Address | Po Box 44047, Detroit, Michigan |
| Phone Number | 2484510600 |
| Fax Number | 2484510700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Kelly Maureen |
| Credentials | MD |
| Telephone Number | 2484510600 |
NPI Number Detail
| NPI Number | 1700884814 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2010-06-24 |
Provider Mailing Address Detail
| Address | Po Box 44047 |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482440047 |
| Phone Number | 2484510600 |
| Fax Number | 2484510700 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 4301056543 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104183802 | MI | -- | |
| 1015775 | MI | HEALTH ADVANTAGE | |
| 350F302120 | MI | BC GROUP | |
| 1700884814 | MI | -- | |
| 350F302120 | MI | BCN GROUP |
Post Comment/ Review Below
What is the Maureen A Kelly Md Pllc's unique identification number?
The Maureen A Kelly Md Pllc has been assigned the NPI (National Provider Identifier) Number 1700884814 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Maureen A Kelly Md Pllc's facilities are situated?
The facilities of Maureen A Kelly Md Pllc are physically located at the following address: Po Box 44047, Detroit, MI, 482440047.
What is Maureen A Kelly Md Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maureen A Kelly Md Pllc is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700884814 to Maureen A Kelly Md Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1700884814 to Maureen A Kelly Md Pllc on 2005-07-12.
As of what date were the details related to Maureen A Kelly Md Pllc most recently updated or revised?
The information pertaining to Maureen A Kelly Md Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-24.