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Individual

DR. MICHAEL E KELLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-05-2534
FL
103K00000X
Behavior Analyst
1-05-2534
GA
103K00000X
Behavior Analyst
1-05-2534
ME
103K00000X
Behavior Analyst
1-05-2534
PA
103T00000X
Psychologist
760
NE
103T00000X
Psychologist
PSY 1234
ME
103T00000X
Psychologist
PY8664
FL
103TC0700X
Clinical Psychologist
019167
PA
103TC0700X
Clinical Psychologist
Primary
6301019270
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019158700
FL
01
019167
PENNSYLVANIA PSYCHOLOGY LICENSE
PA
05
522713395A
GA
01
760
NEBRASKA PSYCHOLOGY LICENSE
NE
01
PY8664
FLORIDA PSYCHOLOGY LICENSE
FL
Enumeration date
10/17/2006
Last updated
06/12/2025
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