Peterson, Kellsey

Peterson, Kellsey is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Peterson, Kellsey can be contacted via phone (800) 653-6568.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (800) 653-6568
Fax: (313) 876-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 303757 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301506898 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301506898 Michigan

Profile Details

NPI number 1487008983
LBN Legal business name Peterson, Kellsey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2016
Last updated Sep 19th, 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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