Individual
DR. DENNIS G KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27483 DEQUINDRE RD, SUITE 303A, MADISON HEIGHTS, MI 48071-3491
(248) 398-4614
(248) 398-4345
Mailing address
27483 DEQUINDRE, SUITE 303A, MADISON HGTS, MI 48071
(248) 398-4614
(248) 398-4345
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DK008799
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112727880
—
MI
01
—
DK008799
STATE LIC
MI
Enumeration date
07/07/2006
Last updated
07/09/2007
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