Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY JOHN KELLY, D.O.
ActiveDR. JEFFREY JOHN KELLY, D.O. is a Dermatology healthcare provider located in TRAVERSE CITY, Michigan. NPI 1770565384 is currently active in the NPPES registry. Verify at CMS.
Dermatology · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1770565384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2005 (20.765396148221 yrs)
- Last Updated
- Jul 24, 2013
- Licenses
-
055534 (GA)5101020217 (MI)
Practice Information
- Address
-
3643 W FRONT STSUITE ATRAVERSE CITY, MI, 496847759Browse MI providers · Browse ZIP 49684
- Phone
- 2319350620
- Fax
- 2319350626
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| MARIA C CARROLL | M.D. | 1437268661 |
| SUSAN C NOBLE | M.D. | 1770692873 |
| PAULA L CAHILL | M.D. | 1285743393 |
| ANTHONY C VANVREEDE | — | 1871851105 |
| MS. BRITTANY CHANNING-NOBLE LISTER | M.D. | 1679990758 |
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.