Individual
DR. KELVIN OGELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3711 88TH ST, JACKSON HEIGHTS, NY 11372-7630
(718) 393-7705
(718) 446-4547
Mailing address
6 OAK CREST DR, HIGHLAND, NY 12528-2708
(718) 393-7705
(718) 446-4547
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N005924-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00612404
RAILROAD MEDICARE PIN
NY
Enumeration date
02/07/2007
Last updated
08/18/2016
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