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

Mr. Kelvin Delaney Reed Jr.

Individual provider Physician Assistant · NPI 1134065501

Mr. Kelvin Delaney Reed Jr. is a Physician Assistant in Detroit, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2026

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Show map & directions

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

Additional practice locations (1)

  • 20500 Edmunton St, Saint Clair Shores, MI 48080-3750 — (313) 829-5353

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013935 (MI)

Record details

NPI number1134065501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2026
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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