Leroy J Kelley is a Podiatrist in Norwood, Massachusetts. Leroy J Kelley practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Leroy J Kelley is 1003897034. The last update date is 2020-12-01.
Leroy J Kelley's current location address is 24 Walpole St Fl 1, Norwood, Massachusetts. You can contact this provider via phone number 7817624205 and fax number 7812557905. The mailing address for Leroy J Kelley is 24 Walpole St Fl 1, Norwood, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leroy J Kelley |
|---|---|
| Address | 24 Walpole St Fl 1, Norwood, Massachusetts |
| Phone Number | 7817624205 |
| Fax Number | 7812557905 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1003897034 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 24 Walpole St Fl 1 |
|---|---|
| City | Norwood |
| State | Massachusetts (MA) |
| Post Code | 20623356 |
| Phone Number | 7817624205 |
| Fax Number | 7812557905 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 1496 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y70632 | MA | BC/BS | |
| 1496 | MA | STATE ID | |
| V09521 | MA | UPIN | |
| 42715679 | MA | TAX ID | |
| 335797 | MA | -- | |
| LXO122 | MA | PTAN |
Post Comment/ Review Below
What is the Leroy J Kelley's 1003897034?
The Leroy J Kelley's NPI (National Provider Identifier) Number is 1003897034. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Leroy J Kelley is located?
The Leroy J Kelley is situated at the following address: 24 Walpole St Fl 1, Norwood, MA, 20623356.
What is Leroy J Kelley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leroy J Kelley's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Leroy J Kelley receive its 1003897034 assignment from the Centers for Medicare & Medicaid Services?
The Leroy J Kelley was assigned its 1003897034 by the Centers for Medicare & Medicaid Services on 2005-11-08.
As of what date were the details pertaining to Leroy J Kelley last refreshed?
The information related to the Leroy J Kelley, including its address, specialty, and other relevant details, was last updated on 2020-12-01.