Individual
DR. BRYAN ANTHONY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101019300
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101019300
MI
Other
Enumeration date
06/30/2011
Last updated
02/02/2022
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