Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK LESLIE KELLEY, MD
ActiveGeneral Surgery · LAFAYETTE, IN
Registration Details
- NPI Number
- 1710956065
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.13891690558 yrs)
- Last Updated
- Jul 23, 2012
- License
-
01022437A (IN)
Practice Information
- Address
-
1500 SALEM STLAFAYETTE, IN, 479042164Browse IN providers · Browse ZIP 47904
- Phone
- 7654488000
- Fax
- 7654488337
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| JERRY A JEFSON | MD | 1619946670 |
| ROGER GUY BANGS | MD | 1811965049 |
| JOHN E FRANCIS | MD | 1306814496 |
| RICHARD C BERG JR. | MD | 1124097977 |
| THOMAS L SUMMER | MD | 1780644732 |
| GERRITT F SMITH | MD | 1134189533 |
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.