Kelley, Mark Aidan

Kelley, Mark Aidan is an individual health care provider with primary practice located at 5315 Elliott Dr Suite 301, Ypsilanti MI 48197-8634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelley, Mark Aidan can be contacted via phone (734) 572-4500.

Contact Information

Primary practice address
5315 Elliott Dr Suite 301 Ypsilanti MI 48197-8634
Phone: (734) 572-4500
Fax: (734) 572-4529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301091561 Michigan

Profile Details

NPI number 1851303978
LBN Legal business name Kelley, Mark Aidan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Sep 6th, 2022 - about 4 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 1851303978 NPPES
Michigan MEDICAID 1851303978

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