National Provider Identifier Database

KELLYA A UBOKUDOM, DO – NPI #1104213164
Pediatric Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.


Contact Information

KELLYA A UBOKUDOM, DO
1500 E MEDICAL CENTER DR
ANN ARBOR, MI48109-5000
Phone: 734-936-4000
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 207PP0204X
Emergency Medicine 207P00000X
Pediatrics 208000000X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for KELLYA A UBOKUDOM

NPI Number 1104213164
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/16/2015
Last updated 11/07/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 5101021815
  • OH License #: 34013380
Hospital affiliation n/a

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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