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Contact Information

KELLY A LEWIS, FNP
19714 E 10 MILE RD
SAINT CLAIR SHORES, MI48080-1064
 Phone: 586-779-9400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for KELLY A LEWIS · (Female)

NPI # 1942759543
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 09/25/2016
Last updated 03/03/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704271476
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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