Organization
KELLY FAMILY MEDICAL CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSE A EKOLE M.D. (PRESIDENT)
(586) 585-9119
Entity
Organization
Contact information
Practice address
21331 KELLY RD STE 120, EASTPOINTE, MI 48021-3265
(586) 585-9119
(586) 585-9947
Mailing address
21331 KELLY RD STE 120, EASTPOINTE, MI 48021-3265
(586) 585-9119
(586) 585-9947
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301080987
MI
Other
Enumeration date
04/20/2010
Last updated
10/19/2011
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