Michael J Kelley Dpm

NPI #1295841153 in Rockford, Michigan

Provider Information

NPI Number: 1295841153
Entity Type: Organization
Organization Name: Michael J Kelley Dpm
Primary Specialty: Podiatrist
Enumeration Date: Aug 22, 2006
Last Updated: Oct 24, 2012

Practice Location

Address: 6785 MYERS LAKE AVE NE
Address 2: SUITE C
City: Rockford
State: Michigan
ZIP Code: 49341-7416
Phone: (616) 874-8772

Authorized Official

Name: MICHAEL J KELLEY, DPM
Title: PRESIDENT
Phone: (616) 874-8772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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