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Kellya Ubokudom, DO — NPI 1104213164, Ann Arbor, MI | NPI Central

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NPI 1104213164

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Kellya Ubokudom, DO

NPI 1104213164 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Ann Arbor, MI

Provider details

NPI number: 1104213164
Entity type: Individual
Primary specialty: Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: No
License: 34013380 (OH)

Specialties & taxonomies

Pediatric Emergency Medicine (Emergency Medicine) PhysicianPrimary207PP0204XLicense 5101021815 (MI)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense 34013380 (OH)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 5101021815 (MI)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

1500 E Medical Center Dr

Ann Arbor, MI 48109-5000

Phone: (734) 936-4000

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

3621 S State St

Ann Arbor, MI 48108-1633

Additional practice locations (1)

500 Euclid Ave E19
Cleveland, OH 44195-2664
Phone: (216) 445-9175
Fax: (216) 445-4552

Registry dates

Enumerated: 2015-04-16
Last updated: 2022-11-07
Certified: 2022-11-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.