Individual
DR. PHILIP DOUGLAS KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
134 WESTERN AVE, FOND DU LAC, WI 54935-4106
(920) 929-3366
(920) 929-6818
Mailing address
134 WESTERN AVE, FOND DU LAC, WI 54935-4106
(920) 929-3366
(920) 929-6818
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
39901-20
WI
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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