Kevin J. Kelly Md, PC

NPI #1689868697 in Portage, Michigan

Provider Information

NPI Number: 1689868697
Entity Type: Organization
Organization Name: Kevin J. Kelly Md, PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 2, 2007
Last Updated: Sep 2, 2007

Practice Location

Address: 8145 VALLEYWOOD LN STE B
City: Portage
State: Michigan
ZIP Code: 49024-5296
Phone: (269) 324-9162

Authorized Official

Name: DR. KEVIN J KELLY, MD
Title: OWNER
Phone: (269) 324-9162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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