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Contact Information

MICHAL KELLY, L. AC., MSTOM
12272 N FENTON RD
SUITE 3
FENTON, MI48430-9614
 Phone: 810-714-5556
 Fax: 810-714-5455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for MICHAL KELLY · (Female)

NPI Number 1659666402
Status Active
Credentials L. AC., MSTOM
Entity Individual
Enumeration date 06/09/2011
Last updated 11/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 198.000838
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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