Theresa Kelly, PA

NPI #1679844104 in Sterling Hts, Michigan

Provider Information

NPI Number: 1679844104
Entity Type: Individual
Name: Theresa Kelly, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 13, 2012
Last Updated: Dec 19, 2018

Practice Location

Address: 43200 DEQUINDRE RD
Address 2: STE104
City: Sterling Hts
State: Michigan
ZIP Code: 48314-1707
Phone: (586) 799-4350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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