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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLYA ANNISA UBOKUDOM, DO

Active

KELLYA ANNISA UBOKUDOM, DO is a Pediatric Emergency Medicine healthcare provider located in ANN ARBOR, Michigan. NPI 1104213164 is currently active in the NPPES registry. Verify at CMS.

Pediatric Emergency Medicine · ANN ARBOR, MI

Registration Details

NPI Number
1104213164
Provider Type
Individual
Gender
Female
NPI Issued
Apr 16, 2015 (11.353988163256 yrs)
Last Updated
Nov 7, 2022
Licenses
34013380 (OH)
5101021815 (MI)
5101021815 (MI)

Practice Information

Address
1500 E MEDICAL CENTER DR
ANN ARBOR, MI, 481095000
Browse MI providers · Browse ZIP 48109
Phone
7349364000
Primary Specialty
Pediatric Emergency Medicine
207PP0204X
Additional Specialty
Pediatrics
Additional Specialty
Pediatric Emergency Medicine

Other Pediatric Emergency Medicine Providers in ANN ARBOR, MI

Name Credential NPI
PRASHANT VITHAL MAHAJAN MD 1508803008
DR. JOSEPH BERNARD HOUSE MD 1750581252
DR. MARGARET SUSANNE WOLFF M.D. 1932376365
TAICHI ITOH MD 1912313149
TIMOTHY PATRICK VISCLOSKY MD 1003266503
DR. THERESA MARY TIMM MD 1316467335
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.