Individual
KELLI MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32270 TELEGRAPH RD STE 110, BINGHAM FARMS, MI 48025-2456
(248) 792-9496
Mailing address
9103 COUNTRY VIEW DR, YPSILANTI, MI 48197-6650
(502) 649-2954
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009656
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2018
Last updated
08/16/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us