Kelatess Pc

  • 1659305860 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Kelatess Pc is 1659305860 and actived since Tuesday, July 11 2006. Kelatess Pc is an Organization provider specializes in Clinical. Provider information was last updated on 11/30/2016.

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Overview of Kelatess Pc

  • NPI number: 1083150882
  • Provider type: Organization
  • Specialty: Clinical
  • Active since: 07/11/2006
  • Last updated: 11/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 6301006835
  • License State: MI

Provider Mailing Address

  • Address: 7382 Mohansic Dr
    Bloomfield Hills, MI 48301
  • Phone: 810-606-1099
  • Fax:

Provider Practice Location

  • Address: 1441 E Maple Ave
    Burton, MI 48529
  • Phone: 810-820-6265
  • Fax:

Authorized Official

  • Name: DR. Matthew P. Dickson PHD
  • Position/Title: President
  • Telephone Number: 810-606-1099

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 6301006835
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 680F33159
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: BLUE CROSS

Question & Answers

What is the npi number?

  • Q: What is the npi number for Kelatess Pc?
  • A: The npi number for Kelatess Pc is 1659305860.
  • Q: What are Kelatess Pc's specialties?
  • A: Kelatess Pc's specialties are Clinical and different specialities.
  • Q: Where is Kelatess Pc business practice location?
  • A: Kelatess Pc business practice location is 1441 E Maple Ave, Burton, MI 48529.
  • Q: How to contact Kelatess Pc?
  • A: You can contact Kelatess Pc via 810-820-6265.
  • Q: What is the authorized official for Kelatess Pc?
  • A: The authorized office name is DR. Matthew P. Dickson PHD with position/title is President and you can reach the authorized official via phone number 8106061099.