Kellie Distefano PA-C

  • NPI 1386609543
According to our database, the NPI number for Kellie Distefano PA-C is 1386609543 and activated since 18 years ago. Kellie Distefano PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 525 S Center St, Hartford, MI 49057. You can also contact Kellie Distefano PA-C via telephone number is (269) 621-4063. Provider NPI information was last updated on 12/18/2007.

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Overview of Kellie Distefano PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 04/19/2006
  • Last updated: 12/18/2007

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 5601002464
  • License State: MI

Provider Mailing Address

  • Address: 400 Medical Park Dr
    Watervliet, MI 49098
  • Phone: 269-463-2431
  • Fax:

Provider Practice Location

  • Address: 525 S Center St
    Hartford, MI 49057
  • Phone: 269-621-4063
  • Fax: 269-621-9972

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 5601002464
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 06116A
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: BHP PROVIDER ID #

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kellie Distefano PA-C?
  • A: The npi number for Kellie Distefano PA-C is 1386609543.
  • Q: What are Kellie Distefano PA-C's specialties?
  • A: Kellie Distefano PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Kellie Distefano PA-C?
  • A: The medical license number for Kellie Distefano PA-C is 5601002464 and issued in MI in USA.
  • Q: Where is Kellie Distefano PA-C practice location?
  • A: Kellie Distefano PA-C is practicing at 525 S Center St, Hartford, MI 49057.
  • Q: How to contact Kellie Distefano PA-C?
  • A: You can contact Kellie Distefano PA-C via 269-621-4063.