KELLY FAMILY MEDICAL CENTER P.C. – NPI #1669799318
Clinic/Center

KELLY FAMILY MEDICAL CENTER P.C. is an AHC clinic located in EASTPOINTE, MI. NPPES has assigned the NPI number 1669799318 to KELLY FAMILY MEDICAL CENTER P.C. on April 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 15 years ago on Oct 19, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY FAMILY MEDICAL CENTER P.C. below.

NPI Profile for
KELLY FAMILY MEDICAL CENTER P.C.

NPI Number
1669799318
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KELLY FAMILY MEDICAL CENTER P.C.
Primary location
21331 KELLY RD STE 120
EASTPOINTE, MI 48021-3265
Phone: (586) 585-9119 Fax: (586) 585-9947
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALPHONSE EKOLE
PRESIDENT
Phone: (586) 585-9119
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)		 MI 4301080987

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.