Michael J Kelley Dpm in Rockford - Podiatrist
Michael J Kelley Dpm - NPI 1295841153
Michael J Kelley Dpm is a Podiatrist in Rockford, Michigan. Michael J Kelley Dpm practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Michael J Kelley Dpm is 1295841153. The last update date is 2012-10-24.
Michael J Kelley Dpm'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 J Kelley Dpm is 6785 Myers Lake Ave Ne, Rockford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael J Kelley Dpm |
|---|---|
| Address | 6785 Myers Lake Ave Ne, Rockford, Michigan |
| Phone Number | 6168748772 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelley J Michael |
| Credentials | DPM |
| Telephone Number | 6168748772 |
NPI Number Detail
| NPI Number | 1295841153 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2012-10-24 |
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 |
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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 |
|---|---|---|---|
| 2751473 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael J Kelley Dpm by the Centers for Medicare & Medicaid Services (CMS)?
The Michael J Kelley Dpm has been assigned the NPI (National Provider Identifier) 1295841153. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michael J Kelley Dpm?
The Michael J Kelley Dpm is physically situated at 6785 Myers Lake Ave Ne, in the city of Rockford, state of MI, with the postal code 493417416.
What is Michael J Kelley Dpm's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael J Kelley Dpm is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did the Michael J Kelley Dpm receive its 1295841153 assignment from the Centers for Medicare & Medicaid Services?
The Michael J Kelley Dpm was assigned its 1295841153 by the Centers for Medicare & Medicaid Services on 2006-08-22.
As of what date were the details pertaining to Michael J Kelley Dpm last refreshed?
The information related to the Michael J Kelley Dpm, including its address, specialty, and other relevant details, was last updated on 2012-10-24.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL