Individual provider · Type 1 NPI

Kellya Annisa Ubokudom, DO

Pediatric Emergency Medicine (Emergency Medicine) Physician · Ann Arbor, MI

NPI number 1104213164 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Call (734) 936-4000 Map

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633

Other practice locations

  • 500 Euclid Ave E19, Cleveland, OH 44195-2664 · (216) 445-9175

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X34013380 (OH)
Pediatrics Physician 208000000X5101021815 (MI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Emergency Medicine (Emergency Medicine) Physician Primary 207PP0204X5101021815 (MI)

Pediatric Emergency Medicine (Emergency Medicine) Physician: Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

4,578 other providers at this address

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About NPI 1104213164

Kellya Annisa Ubokudom, DO's National Provider Identifier is 1104213164, issued on Apr 16, 2015. The primary taxonomy on file is Pediatric Emergency Medicine (Emergency Medicine) Physician (207PP0204X), and the practice location is in Ann Arbor, MI. The record was last updated on Nov 7, 2022.