Individual provider · Type 1 NPI
Siena Dubree Kelley
Medical Physician Assistant · Center Line, MI
NPI number
1629931407
Active
Practice location
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | F7Y5Z5R6 (MI) |
| Clinic/Center | 261Q00000X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1629931407
Siena Dubree Kelley's National Provider Identifier is 1629931407, issued on Dec 8, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Center Line, MI. The record was last updated on Jan 14, 2026.