ANGELA KELLO (NPI# 1255786968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255786968 |
| Entity Type | Individual |
| Full Name | ANGELA KELLO |
| Credential | FNP-BC |
| Practice Address |
3535 W 13 Mile Rd Suite 140 Royal Oak MI 48073-6770 |
| Practice Telephone | 2485513000 |
| Mailing Telephone | 2485513000 |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704233317 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3535 W 13 MILE RD SUITE 140 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750376877 | M Bassem Hosein Dekelbab | Pediatrics | 3535 W 13 Mile Rd, 707, Royal Oak, MI 48073-6770 | 2005-09-14 |
| 1639788029 | Moyosoreoluwa Morenike Laditan | Internal Medicine | 3535 W 13 Mile Rd, Medical Office Building, Suite Ll-35, Royal Oak, MI 48073-6770 | 2020-07-30 |
| 1952928780 | Julie Katia Morin-major | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-06-27 |
| 1336763382 | Reem Wassef | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-05 |
| 1942824271 | Ji Won Lee | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-06-02 |
| 1285257030 | Michael Maiden | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-27 |
| 1821611922 | Maria Kathryn Souphis | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-22 |
| 1710509393 | Yoshiko Nito | Pediatrics | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-18 |
| 1699397547 | Ashbina Pokharel | Internal Medicine | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-05-14 |
| 1720609746 | Geoffrey M Saham Pllc | Internal Medicine | 3535 W 13 Mile Rd, Royal Oak, MI 48073-6770 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131536 | Kelsey Corinne Mcdonald | Nurse Practitioner | 2513 N Wilson Ave, Royal Oak, MI 48073-4275 | 2020-07-21 |
| 1740807882 | Kayla Myers | Nurse Practitioner | 4315 Cooper Ave, Royal Oak, MI 48073-1509 | 2020-07-05 |
| 1366002834 | Ashley Marie Taormina | Nurse Practitioner | 4909 Crooks Rd Apt C7, Royal Oak, MI 48073-1245 | 2019-06-17 |
| 1699232926 | Kathryn Marie Psilis | Nurse Practitioner | 425 E La Salle Ave, Royal Oak, MI 48073-3544 | 2019-02-22 |
| 1093295420 | Tarrah Kaplan | Nurse Practitioner | 3577 W 13 Mile Rd # 204, Royal Oak, MI 48073-6710 | 2018-08-15 |
| 1033636493 | Joey Guz | Nurse Practitioner | 602 Kayser Ave, Royal Oak, MI 48067-2829 | 2017-08-27 |
| 1851812994 | Sarah Benson Lim | Nurse Practitioner | 2712 N Vermont Ave, Royal Oak, MI 48073-4266 | 2017-06-28 |
| 1952857195 | Dayna Cline | Nurse Practitioner | 606 N Center St, Royal Oak, MI 48067-1712 | 2016-08-28 |
| 1528338142 | Nichole Elizabeth Andres | Nurse Practitioner | 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2012-01-12 |
| 1477889418 | Rebecca Ann Nelson | Nurse Practitioner | 3601 W. Thirteen Mile Road, Ext 84116 Rebecca Nelson, Royal Oak, MI 48073 | 2009-10-27 |
| Find all providers in ROYAL OAK | ||||
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| 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.