Dr. Kelly Mason
Family Doctor
1701 Baldwin Ave Ste 102
Pontiac
, Michigan 48340-1168
Dr. Kelly Mason
Family Doctor
1701 Baldwin Ave Ste 102
Pontiac
, Michigan 48340-1168
(810) 606-5000
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Kelly Mason
- 1 Genesys Pkwy
- Grand Blanc, MI
- Zip : 48439-8065
- Phone : (810) 606-5000
Second Address
- Dr. Kelly Mason
- 1701 Baldwin Ave Ste 102
- Pontiac, MI
- Zip : 48340-1168
- Fax : (810) 733-1632
- Phone : (248) 334-4962
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 5101016328 | MI |
National Provider Identifier
| NPI | 1003848979 |
|---|---|
| Provider Name | Dr. Kelly Mason |
| First Address | Grand Blanc, MI 48439-8065 |
| Second Address | Pontiac, MI 48340-1168 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 07/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.