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Contact Information

KELLI BEAUDOIN, PA
18100 OAKWOOD BLVD
SUITE 300
DEARBORN, MI48124-4085
 Phone: 313-429-7977
 Fax: 313-429-7981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KELLI BEAUDOIN · (Female)

NPI # 1891725495
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/03/2006
Last updated 01/05/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601003485
Hospital affiliation(s)
  • OAKWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    18101 OAKWOOD BLVD
    DEARBORN, MI 48124
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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