Individual
JAMES BRIAN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301095373
MI
Other
Enumeration date
08/20/2009
Last updated
03/01/2014
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