Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE POLETIS, PA-C
ActiveKELLY MARIE POLETIS, PA-C is a Physician Assistant healthcare provider located in CLINTON TWP, Michigan. NPI 1528317153 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLINTON TWP, MI
Registration Details
- NPI Number
- 1528317153
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2012 (13.954839151466 yrs)
- Last Updated
- Sep 4, 2018
- Licenses
-
085004402 (IL)5601007695 (MI)
Practice Information
- Address
-
15855 19 MILE RDCLINTON TWP, MI, 48038Browse MI providers · Browse ZIP 48038
- Phone
- 5862632113
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CLINTON TWP, MI
| Name | Credential | NPI |
|---|---|---|
| STEPHANIE L SMILEY | PHYSICIAN ASST C | 1316918659 |
| DIANE STEPHANIE KACZMAREK | PA | 1023068863 |
| MS. LAUREN E. GROVES | P.A.-C. | 1417972613 |
| KELLY HOLMES | PA-C | 1952317281 |
| MR. CHARLES ALLEN LARNARD IV | PA-C | 1700094877 |
| MRS. MARY SUZANNE NIEMEYER | — | 1588855951 |
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.