Organization
CHRISTOPHER B KELLY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER B KELLY M.D. (OWNER)
(734) 243-6640
Entity
Organization
Contact information
Practice address
1066 N MONROE ST, MONROE, MI 48162-3113
(734) 243-6640
(734) 243-6643
Mailing address
1066 N MONROE ST, MONROE, MI 48162-3113
(734) 243-6640
(734) 243-6643
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
CK055724
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2849194
—
MI
Enumeration date
04/22/2008
Last updated
04/22/2008
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