EMILY KELLY


Address: 43033 Ford Rd, Canton, MI 48187-3375
Phone: 7349275050

EMILY KELLY (NPI# 1003439126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003439126
Entity Type Individual
Full Name EMILY KELLY
Practice Address 43033 Ford Rd
Canton
MI 48187-3375
Mailing Address 2420 Emerson Cir
Shelby Township
MI 48317-4517
Practice Telephone 7349275050
Enumeration Date 2020-05-22
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5601010141 MI Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2420 Emerson Cir, Shelby Township, MI 483174517 5869429455
300 W Oak St, Carbondale, IL 629011400 6184538850

Other Providers EMILY KELLY

NPI Name Taxonomy Address Enumeration
1124577028 Emily Kelly Behavior Technician 99-870 Iwaena St # 101, Aiea, HI 96701-3278 2016-10-03
1477193902 Emily Kelly Counselor 2507 Christie Dr, Lake Oswego, OR 97034 2020-01-13
1639711625 Emily Katherine Kelly Nurse Practitioner 505 Parnassus Ave, San Francisco, CA 94143-2204 2019-10-11
1619435955 Emily N Kelly Student in an Organized Health Care Education/Training Program 600 S Paulina St Ste 403, Chicago, IL 60612-3806 2019-03-06
1447729140 Emily G Kelly Physical Therapist 625 Walnut St, Mckeesport, PA 15132-2806 2018-11-26
1972018836 Emily Kelly Counselor 8150 Wornall Rd, Kansas City, MO 64114-5806 2017-12-13
1164962155 Emily Fell Kelly Student in an Organized Health Care Education/Training Program 1501 Kings Hwy, Surgery, Shreveport, LA 71103-4228 2017-02-24
1992158604 Emily Lane Kelly Counselor 1170 New Britain Ave, West Hartford, CT 06110-2410 2016-07-18
1023476249 Emily Kelly Early Intervention Provider Agency 196 Sara Ln, Newburgh, NY 12550-2597 2016-02-02
1245590249 Emily Ann Kelly Counselor 5725 Ne Prescott St, Portland, OR 97218-2275 2012-05-23

Office Location

Street Address 43033 FORD RD
City CANTON
State MI
Zip Code 48187-3375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063961092 Chad Evans Rehabilitation Practitioner 43033 Ford Rd, Canton, MI 48187-3375 2016-10-03
1972083152 Christina Colarossi Physician Assistant 43033 Ford Rd, Canton, MI 48187-3375 2018-08-17
1497290621 Emily Ann Robertson Physician Assistant 43033 Ford Rd, Canton, MI 48187-3375 2016-12-25
1649712480 Canton Urgent Care Walk-in Clinic PC Clinic/Center 43033 Ford Rd, Canton, MI 48187-3375 2016-11-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114547874 Savannah Dugan Occupational Therapist 5969 N Canton Center Rd, Canton, MI 48187 2020-04-23
1225674823 Cura Professional Group Home Health 1638 East Lakeview Lane, Canton, MI 48187 2019-11-19
1740825207 Vlp Can LLC Dentist 39883 Ford Rd., Canton, MI 48187 2019-11-08
1487112942 Michigan Dialysis Services, LLC Clinic/Center 275 N Canton Center Rd, Canton, MI 48187 2019-03-04
1447734496 Integrated Health Pharmacy LLC Pharmacy 49650 Cherry Hill Rd., Canton, MI 48187 2018-09-16
1285117499 Susan Rhoton Licensed Vocational Nurse 6223 N Canton, Suite 201, Canton, MI 48187 2018-09-13
1285110767 Personalized Nursing Light House Inc Substance Abuse Rehabilitation Facility 7752 N Canton Center Rd Ste 120, Canton, MI 48187 2018-07-17
1083111793 Heydie Alejandra Orr Social Worker 5840 N Canton Center Rd Ste 221, Canton, MI 48187 2018-04-09
1285139204 Chawla Enterprises Inc Durable Medical Equipment & Medical Supplies 5840 N Canton Center Rd Ste 222, Canton, MI 48187 2018-03-30
1689192221 Arcturus Pllc Physical Therapist 5820 Lilley Rd. Suite 6, Canton, MI 48187 2017-09-04
Find all providers in zip 48187

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164048674 Rebecca Lynn Yunk Physician Assistant 50433 Monroe St, Canton, MI 48188-6601 2020-06-20
1780210781 Olivia Anastasia Basso Physician Assistant 4912 Higbee Ave Nw Ste 200, Canton, OH 44718-2599 2020-03-21
1700428802 Meagan Elizabeth Hogan Physician Assistant 6119 Us Highway Route 11, Canton, NY 13617 2019-10-10
1578113593 Luiza Lica Physician Assistant 246 Princess Dr, Canton, MI 48188-1142 2019-09-12
1235614900 Eva Louisa Paoloni Physician Assistant 1105 W Maple St Apt 3, Canton, OH 44720-2869 2018-09-28
1992281653 Elizabeth Judy Physician Assistant 460 Northside Cherokee Blvd Ste 430, Canton, GA 30115-8020 2018-07-16
1083124051 Stephanie Black Physician Assistant 1455 Harrison Ave Nw Ste 105, Canton, OH 44708-2609 2017-10-04
1972024594 Patrick James Sullivan Physician Assistant 6619 State Highway Route 11, Canton, NY 13617 2017-07-05
1588111074 Kinjal Shah Physician Assistant 43767 Ford Rd, Canton, MI 48187-3185 2016-09-01
1144683731 Ellen Catherine Mitchell Physician Assistant 48575 Joy Rd, Canton, MI 48187-1214 2016-03-31
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 48187

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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