Maureen A Kelly Md Pllc
Pediatric Adolescent Medicine
Maureen A Kelly Md Pllc is a Bloomfield Hills, Michigan based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Maureen A Kelly Md Pllc is doing business as
Bloomfield Pediatric Care.
It is located at
43205 Woodward Ave, Bloomfield Hills, Michigan - 48302-5006. They can be contacted on phone at
248-451-0600 and fax number 248-451-0700.
NPI number (Unique professional ID) for Maureen A Kelly Md Pllc is
1700884814 which was assigned by NPPES on 12 Jul, 2005 and it was last updated on 24 Jun, 2010.
Maureen A Kelly Md Pllc license number is
4301056543 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Maureen A Kelly Md Pllc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Maureen A Kelly Md Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Maureen A Kelly Md Pllc |
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| Other Name : | Bloomfield Pediatric Care |
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Business Address:
Maureen A Kelly Md Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 43205 Woodward Ave
Bloomfield Hills, MI, 48302-5006
United States |
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| Phone Number : | 248-451-0600 |
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| Fax Number : | 248-451-0700 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700884814 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 12 Jul, 2005 |
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| Last Updated On : | 24 Jun, 2010 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Maureen Kelly |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER/PHYSICIAN |
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| Phone Number : | 248-451-0600 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maureen A Kelly Md Pllc are as mentioned. Primary taxonomy code for Maureen A Kelly Md Pllc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301056543 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Maureen A Kelly Md Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 350F302120 | Other | MI | BCN GROUP |
| 104183802 | MEDICAID | MI | |
| 1015775 | Other | MI | HEALTH ADVANTAGE |
| 350F302120 | Other | MI | BC GROUP |
| 1700884814 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 44047
Detroit, MI, 48244-0047
United States |
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| Phone Number : | 248-451-0600 |
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| Fax Number : | 248-451-0700 |
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Business Location:
Patients can refer following map for directions to
Maureen A Kelly Md Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.