GEORGE J KELEN MD PLLC NPI 1891956918

NPI Information

  • NPI: 1891956918
  • Provider Name: GEORGE J KELEN MD PLLC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Doing Business As: LAKESHORE CARDIOLOGY
  • Address: 913 E LUDINGTON AVE
    LUDINGTON, MI
    ZIP 49431
  • Phone: (231) 845-7677

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NPI Details

GEORGE J KELEN MD PLLC is a medical specialty clinic center in Ludington, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). GEORGE J KELEN MD PLLC NPI is 1891956918. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeshore Cardiology.

The provider's business location address is:

913 E LUDINGTON AVE
LUDINGTON, MI
ZIP 49431-437
Phone: (231) 845-7677
Fax: (231) 843-0773

The provider's authorized official is George John Kelen .
The authorized official title is Owner and has the following contact phone number (231) 845-7677.

The enumeration date for this NPI number is 6/20/2008 and was last updated on 7/1/2008.

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
1261QM2500XClinic/CenterMedical Specialty4301079843MICHIGANYes

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
1G00681MEDICARE UPINMICHIGAN
24579580MEDICAIDMICHIGAN
3DA9989OTHERMICHIGANRAILROAD MEDICARE
40N87780MEDICARE PINMICHIGAN

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: 11/21/2025

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