Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katelyn De Lara, MD

Individual provider Family Medicine Physician · NPI 1902659253

Katelyn De Lara, MD is a Family Medicine Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

22250 Providence Dr Ste 500
Southfield, MI 48075-6213
Phone: (248) 849-3441
Fax: (248) 849-5826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4351052573 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902659253
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address22250 Providence Dr Ste 500, Southfield, MI 48075-6213

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