Individual
DR. MARK AIDAN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5315 ELLIOTT DR, SUITE 301, YPSILANTI, MI 48197-8634
(734) 572-4500
(734) 572-4529
Mailing address
2573 STANTONSBURG RD STE B, GREENVILLE, NC 27834-7213
(252) 215-5200
(252) 215-0623
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301091561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851303978
—
MI
Enumeration date
08/13/2006
Last updated
09/06/2022
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