Individual
J.ADAM KELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17800 NEWBURGH RD, SUITE 103, LIVONIA, MI 48152-2700
(734) 464-9540
(734) 464-0438
Mailing address
17800 NEWBURGH RD, SUITE 103, LIVONIA, MI 48152-2700
(734) 464-9540
(734) 464-0438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099535
—
MI
Enumeration date
01/18/2006
Last updated
07/08/2007
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