Gray-Allen, Kelley Lynne

Gray-Allen, Kelley Lynne is an individual health care provider with primary practice located at 35735 Mound Rd Ste 100 , Sterling Heights MI 48310-4728. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gray-Allen, Kelley Lynne can be contacted via phone (586) 261-1960.

Contact Information

Primary practice address
35735 Mound Rd Ste 100 Sterling Heights MI 48310-4728
Phone: (586) 261-1960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004915 Michigan

Profile Details

NPI number 1316029010
LBN Legal business name Gray-Allen, Kelley Lynne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jun 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316029010 NPPES
Other 1074093 NCCPA CERTIFICATE
Other 5601004915 NCCPA CERTIFICATE

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