Search › Michigan › 367500000X
Conrad Kelly
NPI 1437672516 · on the registry since 2017 · sole proprietor
Practice
- Address
- 22101 Moross Rd
Detroit, MI 48236 - Phone
- (313) 343-4000
- Organisation at this address
- Largo Glm Pllc
Berg Vascular Pc
St John Hospital
St. John Hospital
St. John HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 504
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan