Kelly A Bannasch is a Medical in Detroit, Michigan. Kelly A Bannasch practices all healthcare services and medical treatments related to Medical. The NPI Number for Kelly A Bannasch is 1043330889. The last update date is 2012-01-24.
Kelly A Bannasch's current location address is 6071 W Outer Dr, Detroit, Michigan. You can contact this provider via phone number 3139668559. The mailing address for Kelly A Bannasch is 6071 W Outer Dr, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly A Bannasch |
|---|---|
| Address | 6071 W Outer Dr, Detroit, Michigan |
| Phone Number | 3139668559 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043330889 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2012-01-24 |
Provider Mailing Address Detail
| Address | 6071 W Outer Dr |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482352624 |
| Phone Number | 3139668559 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601002420 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Kelly A Bannasch's unique identification number?
The Kelly A Bannasch has been assigned the NPI (National Provider Identifier) Number 1043330889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kelly A Bannasch's physical address?
The Kelly A Bannasch is physically located at 6071 W Outer Dr, in the city of Detroit, MI, with the postal code 482352624.
What is the Kelly A Bannasch's area of specialization and corresponding taxonomy classification?
The Kelly A Bannasch's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
When did Kelly A Bannasch receive its 1043330889 assignment?
The Kelly A Bannasch was assigned its 1043330889 on 2007-03-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Kelly A Bannasch most recently updated or refreshed?
The details pertaining to the Kelly A Bannasch, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-01-24.