CHARLES W. KELLEY III D.P.M. NPI 1811142250

NPI Information

CHARLES W. KELLEY III D.P.M. is a foot surgery podiatrist in Indianapolis, IN. CHARLES W. KELLEY III D.P.M. NPI is 1811142250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5602 MADISON AVE
INDIANAPOLIS, IN
ZIP 46227-625
Phone: (317) 786-2239
Fax: (317) 784-2055

The provider's authorized official is Charles Walter Kelley .
The authorized official title is Sole Proprietor and has the following contact phone number (317) 786-2239.

The enumeration date for this NPI number is 11/26/2008 and was last updated on 2/18/2009.

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:

Other Identifiers

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

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