Individual provider · Type 1 NPI

Kelly Marie Poletis, PA-C

Physician Assistant · Clinton Township, MI

NPI number 1528317153 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038

Call (586) 263-2113 Map

Mailing address

1 Ford Pl Ste 2E
Detroit, MI 48202-3450

Other practice locations

  • 1725 W Harrison St, Chicago, IL 60612-3841 · (312) 772-2273

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant 363AS0400X085004402 (IL)
Physician Assistant Primary 363A00000X5601007695 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1528317153

Kelly Marie Poletis, PA-C's National Provider Identifier is 1528317153, issued on Aug 29, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Clinton Township, MI. The record was last updated on Sep 4, 2018.