THERESA KELLY, PA
Physician Assistant
Active
Individual
NPI: 1679844104
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601006213 (MI) |
Frequently Asked Questions
NPI 1679844104 is the National Provider Identifier for THERESA KELLY, PA, a Physician Assistant provider located in Sterling Hts, MI. This NPI was enumerated on January 13, 2012.
THERESA KELLY, PA practices at 43200 DEQUINDRE RD, STE104, Sterling Hts, MI 48314.
Quick Facts
- NPI
- 1679844104
- Type
- Individual
- Enumerated
- Jan 13, 2012
- Last Updated
- Dec 19, 2018
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