THOMAS A. KELLY D.O. P.C. NPI 1366689275

NPI Information

NPI: 1366689275
Provider Name: THOMAS A. KELLY D.O. P.C.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
101 E SPICERVILLE HWY
EATON RAPIDS, MI
ZIP 48827
Phone: (517) 663-2705
Get Directions

THOMAS A. KELLY D.O. P.C. is a general practice in Eaton Rapids, MI. THOMAS A. KELLY D.O. P.C. NPI is 1366689275. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 E SPICERVILLE HWY
EATON RAPIDS, MI
ZIP 48827-919
Phone: (517) 663-2705
Fax: (517) 663-9470

The provider's authorized official is Thomas A Kelly .
The authorized official title is President and has the following contact phone number (517) 663-2705.

The enumeration date for this NPI number is 1/14/2009 and was last updated on 1/14/2009.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		5101008344	MICHIGAN	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	Other Provider Identifier Issuer
1	0152330085	OTHER	MICHIGAN	BLUE CHOICE
2	F03642	MEDICARE UPIN
3	5233008	MEDICARE PIN	MICHIGAN
4	0152330085	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD PPO TRUST
5	202869	OTHER	MICHIGAN	MCLAREN
6	M034742	OTHER		CHAMPUS
7	P93421	OTHER	MICHIGAN	BLUE CARE NETWORK
8	10046150001	OTHER	MICHIGAN	THE WELLNESS PLAN
9	10046150001	OTHER	MICHIGAN	THE WELLNESS PLAN MEDICAID
10	200000002219	OTHER	MICHIGAN	PHYSICIAN HEALTH PLAN FAMILY CARE
11	0100444	OTHER		PHYSICIAN HEALTH PLAN
12	3319192	MEDICAID	MICHIGAN
13	0152330085	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD MEDICAL PIN
14	0152330085	OTHER	MICHIGAN	BLUE PREFFERED PLUS
15	0279722	OTHER		CIGNA HEALTHCARE

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »