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

Theresa Kelly, PA

Individual provider Physician Assistant · NPI 1679844104

Theresa Kelly, PA is a Physician Assistant in Sterling Hts, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

43200 Dequindre Rd STE104
Sterling Hts, MI 48314-1707
Phone: (586) 799-4350
Fax: (586) 799-4279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006213 (MI)

Record details

NPI number1679844104
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 13, 2012
Last updated in NPPESDecember 19, 2018

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