Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY HEFFERON, D.O.
ActiveDR. KELLY HEFFERON, D.O. is a Gastroenterology healthcare provider located in SOUTHFIELD, Michigan. NPI 1255474813 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1255474813
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2007 (19.517402269291 yrs)
- Last Updated
- Nov 7, 2019
- License
-
5101012396 (MI)
Practice Information
- Address
-
21650 W 11 MILE RD STE 209SOUTHFIELD, MI, 480763777Browse MI providers · Browse ZIP 48076
- Phone
- 2488099638
- Fax
- 2488099996
- Primary Specialty
-
Gastroenterology
207RG0300X
Other Gastroenterology Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. RONALD D PELAVIN | M.D. | 1700861366 |
| CAMILLE ELISE JOHNSON | MD | 1558337147 |
| DR. JUAN MANUEL PEREZ | M.D. | 1760445878 |
| BRUCE BIALOR | MD | 1861503492 |
| ARTHUR A EFROS | M.D. | 1972672103 |
| DR. NICHOLAS JOSEPH | M.D. | 1700152014 |
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.