Individual
JAMES PATRICK KELLY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 46202
(317) 944-4034
Mailing address
963 ROOSEVELT ST, PLYMOUTH, MI 48170-2003
(313) 598-3941
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101027387
MI
Other
Enumeration date
04/06/2020
Last updated
05/07/2024
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