Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 31905 | SC |
N | 111NI0900X | Internist | 31905 | SC |
Y | 207R00000X | Internist | 4301108951 | MI |
Y | 111NI0900X | Internist | 4301108951 | MI |
N | 207R00000X | Internist | 57957 | MN |
N | 111NI0900X | Internist | 57957 | MN |
NPI | 1003043001 |
---|---|
Provider Name | Dr. Kelly Perry Apple |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ypsilanti, MI 48197-1051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 16/06/2016 |