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Contact Information

MICHAEL KELLY, MD
1933 HYLAND ST
FERNDALE, MI48220-3803
 Phone: 248-933-0558
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MICHAEL KELLY · (Male)

NPI Number 1912981010
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2005
Last updated 03/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301065795
  • WI License # 86418
  • MI Other BLUE CROSS 340H275000
  • MI Other COMMERICAL 382032989
Hospital affiliation(s)
  • BEAUMONT HOSPITAL GROSSE POINTE - (Acute Care)
    468 CADIEUX RD
    GROSSE POINTE, MI 48230
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
  • ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER - (Acute Care)
    11800 EAST TWELVE MILE ROAD
    WARREN, MI 48093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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