Individual provider · Type 1 NPI

Kellie Distefano, PA-C

Family Medicine Physician · Hartford, MI

NPI number 1386609543 Active

Practice location

525 S Center St
Hartford, MI 49057-1362

Fax (269) 621-9972

Mailing address

400 Medical Park Dr
Watervliet, MI 49098-9225

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X5601002464 (MI)
Physician Assistant 363A00000X5601002464 (MI)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Hartford

See all in Hartford →

About NPI 1386609543

Kellie Distefano, PA-C's National Provider Identifier is 1386609543, issued on Apr 19, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Hartford, MI. The record was last updated on Dec 18, 2007.