Mcclean, Kelly L
Mcclean, Kelly L is an individual health care provider with primary practice located at 7300 Dexter-Ann Arbor Rd Suite 110, Dexter MI 48130-8598. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mcclean, Kelly L can be contacted via phone (734) 426-2796.Contact Information
Primary practice address
7300 Dexter-Ann Arbor Rd Suite 110
Dexter MI 48130-8598
Phone: (734) 426-2796
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 4301073167 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301073167 | Michigan |
Profile Details
| NPI number | 1326129503 |
|---|---|
| LBN Legal business name | Mcclean, Kelly L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Feb 5th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326129503 | NPPES |
| Michigan | MEDICAID | 3502982 |
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