Kelly, Mary

Kelly, Mary is an sole proprietor health care provider with primary practice located at 28311 Franklin Rd Apt C339 , Southfield MI 48034-5556. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Kelly, Mary can be contacted via phone (248) 632-9211.

Contact Information

Primary practice address
28311 Franklin Rd Apt C339 Southfield MI 48034-5556
Phone: (248) 632-9211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 268759 Michigan

Profile Details

NPI number 1427757608
LBN Legal business name Kelly, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2023
Last updated Feb 27th, 2023 - about 3 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 1427757608 NPPES
Michigan Other H60218395 HUMANA
Michigan Other H60218395 HUMANA

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