| NPI | 1518144336 |
|---|---|
| Doing Business As | KELLY PODIATRY |
| Entity Type | Organization |
| Authorized Contact | ALAN R WARREN Doctor/Owner 586-778-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: MI AW400236) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2025-08-13 |