DR. MICHAEL TIMOTHY KELLEY MD NPI 1306822812

NPI Information

NPI: 1306822812
Provider Name: DR. MICHAEL TIMOTHY KELLEY, MD
Classification: Preventive Medicine - 2083X0100X
Entity Type: Individual

Specialization: Occupational Medicine

Address:
1166 DUBLIN RD
SUITE 400
COLUMBUS, OH
ZIP 43215
Phone: (614) 544-4605
Get Directions

DR. Michael Timothy Kelley, MD is an occupational medicine preventive medicine in Columbus, OH. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. DR. Michael Timothy Kelley, MD NPI is 1306822812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1166 DUBLIN RD
SUITE 400
COLUMBUS, OH
ZIP 43215-030
Phone: (614) 544-4605

The enumeration date for this NPI number is 12/16/2005 and was last updated on 11/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083X0100X	Preventive Medicine	Occupational Medicine	39072	KENTUCKY	No
2	2083X0100X	Preventive Medicine	Occupational Medicine	35048006K	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A52166	MEDICARE UPIN	OHIO
2	KE7004622	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	0672811	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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