MEDICARE: EMMA FAY KELLY MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	6362009699	MI

General Provider Information

NPI Number	:	1023722394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA FAY KELLY MA

Provider Business Mailing Address
First Line	:	1603 CATALPA DR
Second Line	:
City	:	ROYAL OAK
State	:	MI
Zip	:	48067-1153
Country	:	US
Telephone Number	:	248-912-8191
Fax Number	:

Provider Business Practice Location Address
First Line	:	7035 ORCHARD LAKE RD STE 800
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-5301
Country	:	US
Telephone Number	:	248-669-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2023
Last Update Date	:	01/10/2023

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1124633755 — GIANNA GARZA LLP
Practice Location Address:

7035 ORCHARD LAKE RD STE 800
WEST BLOOMFIELD, MI
48322-5301

Practice Phone: 248-669-9500
Practice Fax:

1427767045 — LAUREN GEORGE TLLP
Practice Location Address:

7035 ORCHARD LAKE RD STE 800
WEST BLOOMFIELD, MI
48322-5301

Practice Phone: 933-524-8721
Practice Fax:

1902636681 — EVAN HARWOOD TLLP
Practice Location Address:

7035 ORCHARD LAKE RD STE 800
WEST BLOOMFIELD, MI
48322-5301

Practice Phone: 248-669-9500
Practice Fax:

1346077476 — BRONTE MUNSON LLMSW
Practice Location Address:

7035 ORCHARD LAKE RD STE 800
WEST BLOOMFIELD, MI
48322-5301

Practice Phone: 248-669-9500
Practice Fax:

1588862601 — ALLIED SURGEONS, P.C.
Practice Location Address:

5301 ISLE ROYAL CT
WEST BLOOMFIELD, MI
48323-3432

Practice Phone: 248-538-0206
Practice Fax: 248-538-0406

Directions to “ EMMA FAY KELLY MA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.