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

Paul S Kellerman, MD

Individual provider Nephrology Physician · NPI 1497721401

Paul S Kellerman, MD is a Nephrology Physician in Royal Oak, Michigan. Licensed in Michigan and Wisconsin. Registered with an NPI since 2006.

Licensed in
MI, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3535 W 13 Mile Rd Ste 248 Beaumont Chronic Disease Management Clinic
Royal Oak, MI 48073-6770
Phone: (248) 551-1515
Fax: (248) 551-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301046818 (MI)
Nephrology Physician Taxonomy 207RN0300X · Licence 45019 (WI)

Record details

NPI number1497721401
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESOctober 15, 2024
Certification dateAugust 15, 2024
Mailing address130 Town Center Dr Ste 203, Beaumont Medical Staff Affairs, Troy, MI 48084-1744

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