Individual ProviderKeli Marie Kildow-PolymeneasSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007(248) 357-8182PECOS EnrollmentBased on the most recent information from CMS, provider Keli Marie Kildow-Polymeneas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1295046910Provider TypeIndividualFull NameKildow-Polymeneas, Keli MarieTitleMs.CredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date6/28/2010Last Updated6/28/2010Contact InformationPractice LocationPractice Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 357-8182Fax(248) 350-3159Mailing LocationMailing Address22170 W 9 Mile Rd, Southfield, MI 48033-6007Phone(248) 357-8182Fax(248) 350-3159Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6801086283MichiganCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseC-00447Michigan