Individual
BRIAN M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2850 S INDUSTRIAL HWY STE 400, ANN ARBOR, MI 48104-6796
(734) 973-2400
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101013044
MI
2081P0004X
Spinal Cord Injury Medicine Physician
5101013044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4452858
—
MI
Enumeration date
10/19/2006
Last updated
06/16/2020
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