Kelly Family Medical Center P.c.
NPI #1669799318 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1669799318
- Entity Type
- Organization
- Organization Name
- Kelly Family Medical Center P.c.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 20, 2010
- Last Updated
- Oct 19, 2011
Practice Location
- Address
- 21331 KELLY RD STE 120
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-3265
- Phone
- (586) 585-9119
Authorized Official
- Name
- DR. ALPHONSE A EKOLE, M.D.
- Title
- PRESIDENT
- Phone
- (586) 585-9119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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