KELLY FAMILY MEDICAL CENTER P.C.
NPI 1669799318
Clinic/Center - Primary Care in Eastpointe, MI

Active since April 20, 2010
21331 KELLY RD STE 120, EASTPOINTE, MI 48021(586) 585-9119(586) 585-9947 Get Directions Write a Review

NPPES record last updated: October 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Family Medical Center P.c. NPPES

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

KELLY FAMILY MEDICAL CENTER P.C. (NPI 1669799318) is a healthcare organization registered as a primary care in Eastpointe, Michigan and active in the NPI registry since April 2010. The organization lists Alphonse A Ekole, President, as its authorized official.

NPPES Registry Identity

NPI1669799318
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKELLY FAMILY MEDICAL CENTER P.C.
Location Address21331 KELLY RD STE 120Eastpointe, MI 48021-3265
Mailing Address21331 Kelly Rd Ste 120Eastpointe, MI 48021-3265 · (586) 585-9119 · Fax (586) 585-9947
Fax(586) 585-9947
Organization SubpartNo
Authorized OfficialAlphonse A EkolePresident · (586) 585-9119
Enumeration DateApril 20, 2010
Last NPPES UpdateOctober 19, 2011
NPI 1669799318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MI · 4301080987
21331 KELLY RD STE 120, Eastpointe, MI 48021

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 Kelly Family Medical Center P.C.'s NPI number?

The NPI number for Kelly Family Medical Center P.C. is 1669799318. It was assigned to this organization in the NPPES registry on April 20, 2010.

Where is Kelly Family Medical Center P.C. located?

Kelly Family Medical Center P.C. is located at 21331 Kelly Rd Ste 120, Eastpointe, MI 48021. The listed phone number is (586) 585-9119.

What is Kelly Family Medical Center P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Kelly Family Medical Center P.C. was last updated on October 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.