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DENNIS G KELLY DO PC
NPI 1740543222
Clinic/Center - Medical Specialty in Madison Heights, MI

Active since June 20, 2012
1431 E 12 MILE RD, BLDG C, MADISON HEIGHTS, MI 48071(248) 398-4614(248) 398-4345 Get Directions Write a Review

NPPES record last updated: June 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dennis G Kelly Do Pc NPPES

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

DENNIS G KELLY DO PC (NPI 1740543222) is a healthcare organization registered as a medical specialty in Madison Heights, Michigan and active in the NPI registry since June 2012. The organization lists Christa J Sharp, Manager, as its authorized official.

NPPES Registry Identity

NPI1740543222
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameDENNIS G KELLY DO PC
Location Address1431 E 12 MILE RD, BLDG CMadison Heights, MI 48071-2653
Mailing Address1431 E 12 Mile Rd, Bldg CMadison Heights, MI 48071-2653 · (248) 398-4614 · Fax (248) 398-4345
Phone(248) 398-4614
Fax(248) 398-4345
Organization SubpartNo
Authorized OfficialChrista J SharpManager · (248) 398-4614
Enumeration DateJune 20, 2012
✔ NPI 1740543222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MI · DK008799
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1431 E 12 MILE RD, Madison Heights, MI 48071
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Other Identifiers 2

Medicaid2727880 TYPE 11MI
Medicare UPINE66886MI

Other Providers at the Same Location NPPES

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

THOMAS IGNATIUS KING DPM
Podiatrist (Foot & Ankle Surgery)
1431 E 12 MILE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 542-5372

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 Dennis G Kelly Do PC's NPI number?

The NPI number for Dennis G Kelly Do PC is 1740543222. It was assigned to this organization in the NPPES registry on June 20, 2012.

Where is Dennis G Kelly Do PC located?

Dennis G Kelly Do PC is located at 1431 E 12 Mile Rd Bldg C, Madison Heights, MI 48071. The listed phone number is (248) 398-4614.

What is Dennis G Kelly Do PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Dennis G Kelly Do PC was last updated on June 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.