Kelly V Bouie (NPI# 1023561537, PAC ID# 2860770872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023561537 |
| PAC ID by PECOS | 2860770872 |
| Professional Enrollment ID | I20161026001628 |
| Full Name | Kelly V Bouie |
| Organization Legal Name | EASTER SEALS - MICHIGAN, INC. |
| Address |
1685 Baldwin Ave A Pontiac MI 48340-1115 |
| Phone Number | 2486811940 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830141670 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1685 Baldwin Ave A, Pontiac, MI 48340-1115 | 2486811940 | EASTER SEALS - MICHIGAN, INC. |
| Organization Legal Name | EASTER SEALS - MICHIGAN, INC. |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Jane Grahn | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1010 E W Maple, Easter Seals Walled Lake, Walled Lake, MI 48390 |
| Melissa A Serra | Clinical Social Worker | Easter Seals - Michigan, Inc. | 6900 E 10 Mile Rd, Easter Seals Macomb County, Center Line, MI 48015-1168 |
| Holly N Hudson | Clinical Social Worker | Easter Seals - Michigan, Inc. | 2399 E Walton Blvd, Auburn Hills, MI 48326-1955 |
| Lynnelle L Ward | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1105 N Telegraph Rd, Waterford, MI 48328-2759 |
| Leigh A Miller | Clinical Social Worker | Easter Seals - Michigan, Inc. | 4065 Saladin Dr Se, Grand Rapids, MI 49546-6249 |
| Vicky K Politowski | Clinical Social Worker | Easter Seals - Michigan, Inc. | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 |
| Surjeet K Bagga | Psychiatry | Easter Seals - Michigan, Inc. | 22170 W Nine Mile Rd, Southfield, MI 48034-6007 |
| Amanda Polk | Clinical Social Worker | Easter Seals - Michigan, Inc. | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 |
| Jennifer J Leeschroeder | Psychiatry | Easter Seals - Michigan, Inc. | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 |
| Daniel Kotsias | Clinical Social Worker | Easter Seals - Michigan, Inc. | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 |
| Street Address |
1685 BALDWIN AVE A |
| City | PONTIAC |
| State | MI |
| Zip | 48340-1115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Wims-madden | Nurse Practitioner | Easter Seals - Michigan, Inc. | 1685 Baldwin Ave A, Pontiac, MI 48340-1115 |
| Christina Anne Tokarski | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1685 Baldwin Ave A, Pontiac, MI 48340-1115 |
| Lacretia Ranee Fisher | Nurse Practitioner | Easter Seals - Michigan, Inc. | 1685 Baldwin Ave A, Pontiac, MI 48340-1115 |
| Megan Montgomery | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1685 Baldwin Ave A, Pontiac, MI 48340-1115 |
| Chelsea Warner | Clinical Social Worker | Easter Seals - Michigan, Inc. | 1685 Baldwin Ave A, Pontiac, MI 48340-1115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George C Popp | Pediatric Medicine | American Current Care of Michigan PC | 1915 N Perry St, Concentra Urgent Care, Pontiac, MI 48340-2237 |
| Alexandros J Samohin | Family Medicine | American Current Care of Michigan PC | 1915 N Perry St, Concentra Urgent Care, Pontiac, MI 48340-2237 |
| Megan N Nash | Anesthesiology | American Current Care of Michigan PC | 1915 N Perry St, Pontiac, MI 48340-2237 |
| Leigh A Elceser | Chiropractic | 1044 Joslyn Ave, Pontiac, MI 48340-2930 | |
| Steven R Binder | Podiatry | 1701 Baldwin Ave, Suite B, Pontiac, MI 48340-3411 |
| City | PONTIAC |
| Zip Code | 48340 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PONTIAC + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly V Bouie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.