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

Mrs. Kelly Renet Dale, PA

Individual provider Medical Physician Assistant · NPI 1952468530

Mrs. Kelly Renet Dale, PA is a Physician Assistant in Sandusky, Michigan. Qualified in 1999, 27 years ago. Practices with Pro-Health Medical Fp, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

416 Woodland Dr
Sandusky, MI 48471-1047
Phone: (810) 202-6022
Fax: (810) 682-4026
Show map & directions

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

Additional practice locations (2)

  • 154 S Main St Ste 6, Frankenmuth, MI 48734-1692 — (989) 502-1122
  • 150 Plymouth Rd, Saginaw, MI 48638-7135 — (989) 323-3863

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003127 (MI)

Record details

NPI number1952468530
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 2, 2007
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Pro-Health Medical Fp — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare