Kelly, Dennis G

Kelly, Dennis G is an sole proprietor health care provider with primary practice located at 27483 Dequindre Rd Suite 303A, Madison Heights MI 48071-3491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kelly, Dennis G can be contacted via phone (248) 398-4614.

Contact Information

Primary practice address
27483 Dequindre Rd Suite 303A Madison Heights MI 48071-3491
Phone: (248) 398-4614
Fax: (248) 398-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DK008799 Michigan

Profile Details

NPI number 1619909793
LBN Legal business name Kelly, Dennis G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Jul 9th, 2007 - about 18 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 1619909793 NPPES
Michigan MEDICAID 112727880
Michigan Other DK008799

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