Frederick Jay Kellaway in Holland - Diagnostic Radiology

Frederick Jay Kellaway - NPI 1679593982

Frederick Jay Kellaway is a Diagnostic Radiology in Holland, Michigan. Frederick Jay Kellaway practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Frederick Jay Kellaway is 1679593982. The last update date is 2007-07-12.

Frederick Jay Kellaway's current location address is 602 Michigan Ave, Holland, Michigan. You can contact this provider via phone number 6163925141. The mailing address for Frederick Jay Kellaway is 602 Michigan Ave, Holland, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick Jay Kellaway
Address 602 Michigan Ave, Holland, Michigan
Phone Number 6163925141
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1679593982
Provider Enumeration Date 2006-07-20
Last Updated Date 2007-07-12

Provider Mailing Address Detail

Address 602 Michigan Ave
City Holland
State Michigan (MI)
Post Code 49423
Phone Number 6163925141
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 4301071423
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about Frederick Jay Kellaway

What is the unique identifier code issued to Frederick Jay Kellaway by the Centers for Medicare & Medicaid Services?

The Frederick Jay Kellaway has been assigned the NPI (National Provider Identifier) 1679593982. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Frederick Jay Kellaway?

The Frederick Jay Kellaway is physically situated at 602 Michigan Ave, in the city of Holland, state of MI, with the postal code 49423.

What is Frederick Jay Kellaway'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 Frederick Jay Kellaway is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679593982 to Frederick Jay Kellaway?

The Centers for Medicare & Medicaid Services originally issued the 1679593982 to Frederick Jay Kellaway on 2006-07-20.

As of what date was the information pertaining to Frederick Jay Kellaway, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Frederick Jay Kellaway, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-12.

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