Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI BEAUDOIN, PA
ActiveKELLI BEAUDOIN, PA is a Physician Assistant healthcare provider located in DEARBORN, Michigan. NPI 1891725495 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DEARBORN, MI
Registration Details
- NPI Number
- 1891725495
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2006 (20.073873982284 yrs)
- Last Updated
- Jan 5, 2017
- Licenses
-
5601003485 (MI)5601003485 (MI)
Practice Information
- Address
-
18100 OAKWOOD BLVDSUITE 300DEARBORN, MI, 481244085Browse MI providers · Browse ZIP 48124
- Phone
- 3134297977
- Fax
- 3134297981
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Surgical Physician Assistant
Other Physician Assistant Providers in DEARBORN, MI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE L PLUMB | PA-C | 1982699872 |
| AUNDREA BURNS | — | 1831166735 |
| TIFFANY MICHELLE SAKHLEH | PA-C | 1952379984 |
| KELLY J GINGRAS | PA-C | 1972551935 |
| JEANETTE K SLADICK | PA | 1588688147 |
| MARGUERITE MARY OROSZ | PAC | 1982617874 |
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.