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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NEIL R KELLEY, DPM

Active

NEIL R KELLEY, DPM is a Podiatrist healthcare provider located in FORTUNA, California. NPI 1437184025 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · FORTUNA, CA

Registration Details

NPI Number
1437184025
Provider Type
Individual
Gender
Male
NPI Issued
Jul 11, 2006 (20.118568022384 yrs)
Last Updated
Mar 27, 2014
Licenses
000E23210 (CA)
000E23210 (CA)
000E23210 (CA)

Practice Information

Address
1730 MAIN ST
FORTUNA, CA, 955402451
Browse CA providers · Browse ZIP 95540
Phone
7077255223
Fax
7077252756
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Radiology Podiatrist
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.