Michal Kelly, L. AC., MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

198.000838 Issued in IL

Practice address

12272 N Fenton Rd
Suite 3
Fenton, MI 48430-9614

Phone

(810) 714-5556

Fax

(810) 714-5455

NPI assigned

Jun 9, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1659666402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12272 N FENTON RD",
            "address_2": "SUITE 3",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309614",
            "telephone_number": "810-714-5556",
            "fax_number": "810-714-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12272 N FENTON RD",
            "address_2": "SUITE 3",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309614",
            "telephone_number": "810-714-5556",
            "fax_number": "810-714-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAL",
        "name_prefix": "Ms.",
        "credential": "L. AC., MSTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.000838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Justice, M.A. CCC-SLP
• Crystal Juliette Kania, LMSW
• Ilyse Logan Kaszynski, MS, OTR/L
• Jeanne L Kaye, P.T.
• Keller Family Home Care, Inc.
• Kelsy Hoerauf PC
• Rosemarie Kennedy, MD
• Kathleen Marie Kerperien, RN/ BSN/ IBCLC
• Kids Tooth Team Fenton PPLC
• Jane Elaine Kimball, LBSW

• Acupuncturist in Fenton, MI
• Providers in Fenton, MI by specialty
• Acupuncturist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.