Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP DOUGLAS KELLEY, M.D.
Active Sole ProprietorDR. PHILIP DOUGLAS KELLEY, M.D. is a Forensic Pathology healthcare provider located in FOND DU LAC, Wisconsin. NPI 1033565346 is currently active in the NPPES registry. Verify at CMS.
Forensic Pathology · FOND DU LAC, WI
Registration Details
- NPI Number
- 1033565346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 5, 2016 (10.279706656188 yrs)
- Last Updated
- May 5, 2016
- License
-
39901-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
134 WESTERN AVEFOND DU LAC, WI, 549354106Browse WI providers · Browse ZIP 54935
- Phone
- 9209293366
- Fax
- 9209296818
- Primary Specialty
-
Forensic Pathology
207ZF0201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.