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Kelley Quijano

Specialist/Technologist, Athletic Trainer in Lapeer, MI. Individual provider (NPI-1).

NPI number1154623932
StatusActive
Last updated in NPPESNov 30, 2010

Details

NPI
1154623932
Entity type
Individual (NPI-1)
Name
Kelley Quijano
Sex
Female
Sole proprietor
No
Enumeration date
Nov 30, 2010
Last updated
Nov 30, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer––Yes

Practice location

1570 Suncrest Dr
Lapeer, MI 48446-1154

Phone 810-667-0500 · Fax 810-664-8728

Mailing address

1570 Suncrest Dr
Lapeer, MI 48446-1154

Phone 810-667-0500 · Fax 810-664-8728

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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