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Organization
CHARLES W. KELLEY III D.P.M.
Active
Organization
CHARLES W. KELLEY III D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WALTER KELLEY III D.P.M. (SOLE PROPRIETOR)
(317) 786-2239
Entity
Organization
Contact information
Practice address
5602 MADISON AVE, INDIANAPOLIS, IN 46227-4625
(317) 786-2239
(317) 784-2055
Mailing address
5602 MADISON AVE, INDIANAPOLIS, IN 46227-4625
(317) 786-2239
(317) 784-2055
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000355A
IN
Other
Enumeration date
11/26/2008
Last updated
02/18/2009
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