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MICHIGAN INFUSION AND LICENSED HEALTHCARE
NPI 1164153367
Physician Assistant in Plymouth, MI

Active since June 20, 2022
500 ROSS ST, PLYMOUTH, MI 48170(734) 341-7767 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michigan Infusion And Licensed Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN INFUSION AND LICENSED HEALTHCARE (NPI 1164153367) is a healthcare organization registered as a physician assistant in Plymouth, Michigan and active in the NPI registry since June 2022. The organization lists Kelly L Long, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1164153367
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameMICHIGAN INFUSION AND LICENSED HEALTHCARE
Location Address500 ROSS STPlymouth, MI 48170-2206
Mailing Address500 Ross StPlymouth, MI 48170-2206 · (734) 341-7767
Phone(734) 341-7767
Organization SubpartNo
Authorized OfficialKelly L LongOwner/manager · (734) 341-7767
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1164153367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
500 ROSS ST, Plymouth, MI 48170
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHIGAN INFUSION SERVICES AND LICENSED HEALTHCARE
Clinic/Center (Health Service)
500 ROSS ST
PLYMOUTH, MI 48170
Wayne County (734) 341-7767
KELLY LYNN LONG PA-C
Physician Assistant (Medical)
500 ROSS ST
PLYMOUTH, MI 48170
Wayne County (734) 341-7767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Infusion And Licensed Healthcare's NPI number?

The NPI number for Michigan Infusion And Licensed Healthcare is 1164153367. It was assigned to this organization in the NPPES registry on June 20, 2022.

Where is Michigan Infusion And Licensed Healthcare located?

Michigan Infusion And Licensed Healthcare is located at 500 Ross St, Plymouth, MI 48170. The listed phone number is (734) 341-7767.

What is Michigan Infusion And Licensed Healthcare's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michigan Infusion And Licensed Healthcare was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.