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

KELLY ANN POWLISHEN, PA-C

Active

KELLY ANN POWLISHEN, PA-C is a Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1992484422 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DETROIT, MI

Registration Details

NPI Number
1992484422
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2023 (3.1090073493255 yrs)
Last Updated
Dec 23, 2024
Licenses
5601011765 (MI)
5601011765 (MI)

Practice Information

Address
311 MACK AVE FL 5
DETROIT, MI, 482012466
Browse MI providers · Browse ZIP 48201
Phone
3138320500
Fax
3137451316
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in DETROIT, MI

Name Credential NPI
JENNY L GRUNWALD P.A.-C 1124013016
KAREN L BRONSON PA-C 1295722270
MRS. SUSAN LYNN SIEPIERSKI PA 1609857952
AMY DERECZYK PA-C 1558349050
JULIA SWITZER PA 1528046505
CAROLE VANDYKE P.A. 1114997228
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.