Michael Kelley in Rockford - Podiatrist

Michael Kelley - NPI 1548376494

Michael Kelley is a Podiatrist in Rockford, Michigan. Michael Kelley practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael Kelley is 1548376494. The last update date is 2009-10-12.

Michael Kelley's current location address is 6785 Myers Lake Ave Ne, Rockford, Michigan. You can contact this provider via phone number 6168748772. The mailing address for Michael Kelley is 6785 Myers Lake Ave Ne, Rockford, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Kelley
Address 6785 Myers Lake Ave Ne, Rockford, Michigan
Phone Number 6168748772
Fax Number
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1548376494
Provider Enumeration Date 2006-08-22
Last Updated Date 2009-10-12

Provider Mailing Address Detail

Address 6785 Myers Lake Ave Ne
City Rockford
State Michigan (MI)
Post Code 493417416
Phone Number 6168748772
Fax Number

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 5901001533
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2751473 MI --

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FAQs about Michael Kelley

What is the unique provider identifier assigned to Michael Kelley?

The Michael Kelley has been issued the NPI (National Provider Identifier) 1548376494 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Michael Kelley's facilities are situated?

The facilities of Michael Kelley are physically located at the following address: 6785 Myers Lake Ave Ne, Rockford, MI, 493417416.

What is Michael Kelley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Michael Kelley is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

When did Michael Kelley receive its 1548376494 assignment?

The Michael Kelley was assigned its 1548376494 on 2006-08-22, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Michael Kelley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Kelley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-12.

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