Organization · Type 2 NPI

Dennis G Kelly Do PC

Medical Specialty Clinic/Center · Madison Heights, MI

NPI number 1740543222 Active

Practice location

1431 E 12 Mile Rd, Bldg C
Madison Heights, MI 48071-2653

Fax (248) 398-4345

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XDK008799 (MI)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1740543222

Dennis G Kelly Do PC's National Provider Identifier is 1740543222, issued on Jun 20, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Madison Heights, MI. The record was last updated on Jun 20, 2012.