Jeffrey John Kelly in Traverse City - Dermatology
Jeffrey John Kelly - NPI 1770565384
Jeffrey John Kelly is a Dermatology in Traverse City, Michigan. Jeffrey John Kelly practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeffrey John Kelly is 1770565384. The last update date is 2013-07-24.
Jeffrey John Kelly's current location address is 3643 W Front St, Traverse City, Michigan. You can contact this provider via phone number 2319350620 and fax number 2319350626. The mailing address for Jeffrey John Kelly is 3643 W Front St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey John Kelly |
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Address | 3643 W Front St, Traverse City, Michigan |
Phone Number | 2319350620 |
Fax Number | 2319350626 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1770565384 |
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Provider Enumeration Date | 2005-11-18 |
Last Updated Date | 2013-07-24 |
Provider Mailing Address Detail
Address | 3643 W Front St |
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City | Traverse City |
State | Michigan (MI) |
Post Code | 496847759 |
Phone Number | 2319350620 |
Fax Number | 2319350626 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 55534 |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identifier code issued to Jeffrey John Kelly by the Centers for Medicare & Medicaid Services?
The Jeffrey John Kelly has been assigned the NPI (National Provider Identifier) 1770565384 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeffrey John Kelly is located?
The Jeffrey John Kelly is situated at the following address: 3643 W Front St, Traverse City, MI, 496847759.
What is Jeffrey John Kelly's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jeffrey John Kelly is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1770565384 to Jeffrey John Kelly?
The Centers for Medicare & Medicaid Services assigned the 1770565384 to Jeffrey John Kelly on 2005-11-18.
As of what date was the information pertaining to Jeffrey John Kelly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey John Kelly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-24.
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