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Rachel M Kelly

Technician, Other in Novi, MI. Individual provider (NPI-1).

NPI number1699209130
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1699209130
Entity type
Individual (NPI-1)
Name
Rachel M Kelly
Sex
Female
Sole proprietor
No
Enumeration date
Apr 11, 2017
Last updated
Jul 21, 2022

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
247200000X Technician, Other–ILYes

Practice location

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-299-0030

Mailing address

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-299-0030

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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.

Other Other Technician providers in Novi, MI

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