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Maureen A Kelly MD Pllc

Pediatric Adolescent Medicine Physician in Bloomfield Hills, MI · enumerated 2005 · authorized official Maureen Kelly, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700884814

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Registry record

Entity type Organization (Type 2)
Legal business name Maureen A Kelly MD Pllc
Other name <Unavail>
Practice address 43205 Woodward Ave, Bloomfield Hills, MI, 48302
Fax (248) 451-0700
Enumeration date Jul 12, 2005
Last updated in NPPES Jun 24, 2010

Taxonomy & classification

2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians · License 4301056543 (MI) Primary

Authorized official

Name Maureen Kelly
Title Owner/Physician

Other identifiers

Identifier Type State Issuer
104183802 Medicaid MI -
1015775 Other MI HEALTH ADVANTAGE
350F302120 Other MI BC GROUP
1700884814 Medicaid MI -
350F302120 Other MI BCN GROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Maureen A Kelly MD Pllc?
Maureen A Kelly MD Pllc is registered in NPPES as a Pediatric Adolescent Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-06-24.