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Contact Information

KELLYA A UBOKUDOM, DO
1500 E MEDICAL CENTER DR
ANN ARBOR, MI48109-5000
 Phone: 734-936-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KELLYA A UBOKUDOM · (Female)

NPI # 1104213164
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/16/2015
Last updated 11/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101021815
  • OH License # 34013380
Hospital affiliation(s) Not Available
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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