| Kelly Marie Larimore, MD | |
| 
					21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566  | |
| (586) 498-4400 | |
| Not Available | 
| Full Name | Kelly Marie Larimore | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 21400 E 11 Mile Rd, Saint Clair Shores, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356800262 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301509469 (Michigan) | Primary | 
| Entity Name | William Beaumont Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083833875 PECOS PAC ID: 9335051093 Enrollment ID: O20031104000279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelly Marie Larimore, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -  | Kelly Marie Larimore, MD 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081-1566 Ph: (586) 498-4400  | 
Dr. Suzanne M Millican, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-779-9400  | |
Dr. Andrea Maria Abessinio, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22811 Greater Mack Ave, Suite 106, Saint Clair Shores, MI 48080 Phone: 586-772-6822 Fax: 586-772-6632  | |
Regina Frost, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 22050 Mack Ave, Saint Clair Shores, MI 48080 Phone: 586-777-2550 Fax: 586-777-2447  | |
Dr. Joyce Catherine Purakal, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd Ste 102, Saint Clair Shores, MI 48081 Phone: 586-447-5100 Fax: 586-447-5090  | |
Wontika R. Smith, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080 Phone: 586-779-9400 Fax: 586-772-1440  | |
Thomas R Hartzell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081 Phone: 800-848-0202 Fax: 586-226-6949  |