Kelly A Bannasch, PA-C
Kelly A Bannasch, PA-C is a Medical Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
6071 W Outer DrDetroit, MI 48235-2624
Phone: (313) 966-8559
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5601002420 (MI) |
|---|
Record details
| NPI number | 1043330889 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | March 29, 2007 |
| Last updated in NPPES | January 24, 2012 |
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