Individual
DR. KELLY HEFFERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21650 W 11 MILE RD STE 209, SOUTHFIELD, MI 48076-3777
(248) 809-9638
(248) 809-9996
Mailing address
24567 NORTHWESTERN HWY, STE 150, SOUTHFIELD, MI 48075-2421
(248) 799-0093
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101012396
MI
Other
Enumeration date
02/14/2007
Last updated
11/07/2019
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