Individual
SHARON S KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1560 TURF LANE, EAST LANSING, MI 48823-6392
(517) 484-3000
(517) 484-6358
Mailing address
1560 TURF LANE, EAST LANSING, MI 48823-6392
(517) 484-3000
(517) 484-6358
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
SK056289
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0331410
BCBS/BCN PROVIDER #
MI
01
—
0700068
PHP PROVIDER #
MI
01
—
0770068
PHP FAMILYCARE PROVIDER #
MI
01
—
1011404
MCLAREN PROVIDER #
MI
01
—
160045104
RR MEDICARE PROVIDER #
MI
05
—
3421721
—
MI
Enumeration date
03/08/2006
Last updated
10/18/2019
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