Kevin J. Kelly Md, Pc in Portage - Internal Medicine
Kevin J. Kelly Md, Pc - NPI 1689868697
Kevin J. Kelly Md, Pc is a Internal Medicine in Portage, Michigan. Kevin J. Kelly Md, Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kevin J. Kelly Md, Pc is 1689868697. The last update date is 2007-09-02.
Kevin J. Kelly Md, Pc's current location address is 8145 Valleywood Ln Ste B, Portage, Michigan. You can contact this provider via phone number 2693249162 and fax number 2693756079. The mailing address for Kevin J. Kelly Md, Pc is 8145 Valleywood Ln Ste B, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin J. Kelly Md, Pc |
|---|---|
| Address | 8145 Valleywood Ln Ste B, Portage, Michigan |
| Phone Number | 2693249162 |
| Fax Number | 2693756079 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kelly J Kevin |
| Credentials | MD |
| Telephone Number | 2693249162 |
NPI Number Detail
| NPI Number | 1689868697 |
|---|---|
| Provider Enumeration Date | 2007-09-02 |
| Last Updated Date | 2007-09-02 |
Provider Mailing Address Detail
| Address | 8145 Valleywood Ln Ste B |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490245296 |
| Phone Number | 2693249162 |
| Fax Number | 2693756079 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 39833 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 390022 | MI | BCBSM | |
| 4282408 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin J. Kelly Md, Pc by the Centers for Medicare & Medicaid Services?
The Kevin J. Kelly Md, Pc has been assigned the NPI (National Provider Identifier) 1689868697 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin J. Kelly Md, Pc?
The Kevin J. Kelly Md, Pc is physically situated at 8145 Valleywood Ln Ste B, in the city of Portage, state of MI, with the postal code 490245296.
What is the Kevin J. Kelly Md, Pc's area of specialization and corresponding taxonomy classification?
The Kevin J. Kelly Md, Pc's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1689868697 assigned to Kevin J. Kelly Md, Pc?
The Kevin J. Kelly Md, Pc was issued its 1689868697 on 2007-09-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kevin J. Kelly Md, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin J. Kelly Md, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-02.