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Kelly Powell Oliverio, PA-C

Physician Assistant in Detroit, MI. Individual provider (NPI-1).

NPI number1417510751
StatusActive
Last updated in NPPESDec 7, 2022

Details

NPI
1417510751
Entity type
Individual (NPI-1)
Name
Kelly Powell Oliverio
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 22, 2019
Certification date
Dec 7, 2022
Last updated
Dec 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601009515MIYes

Other names

  • Kelly Powell (Former Name)

Practice location

19100 W 7 Mile Rd
Detroit, MI 48219-2758

Phone 248-660-1220

Mailing address

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818

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