Provider Demographics
NPI:1962514075
Name:BILLECI, KELLY ANNE (NP)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANNE
Last Name:BILLECI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:26901 BEAUMONT BLVD STE 3D
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3849
Mailing Address - Country:US
Mailing Address - Phone:947-522-1865
Mailing Address - Fax:947-522-0307
Practice Address - Street 1:36555 26 MILE RD STE 1100
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MI
Practice Address - Zip Code:48048-3186
Practice Address - Country:US
Practice Address - Phone:947-523-4010
Practice Address - Fax:947-523-4011
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-08-30
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Provider Licenses
StateLicense IDTaxonomies
MI4704235226363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care